NPIMap

Organization Active NPI

Pharmacy Operations Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Tomah, WI
National Provider Identifier
1790879609
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8407042 Issued in WI
Legal business name
PHARMACY OPERATIONS INC
Doing business as
Medicine Shoppe
Practice address
300 Superior Ave
Tomah, WI 54660
Phone
(608) 372-2101
NPI assigned
Oct 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark A Miller
Title
V.P. Pharmacy Operations
Phone
(800) 325-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8407042 WI Primary

Addresses

Primary practice location

300 Superior Ave
Tomah, WI 54660

Mailing address

1 Rider Trail Plaza Dr
Suite 300
Earth City, MO 63045-1313
Phone (314) 993-6000

Other identifiers 2

IdentifierTypeStateIssuer
33259400MedicaidWI
5101162OtherWINCPDP #

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Shoppe24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

300 Superior Ave
Tomah, WI 54660
Phone (608) 372-2101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790879609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDER TRAIL PLAZA DR",
            "address_2": "SUITE 300",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451313",
            "telephone_number": "314-993-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OPERATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P. PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "800-325-1397"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8407042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33259400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "5101162",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.