Mueller Drugs, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

4537-42 Issued in WI

Legal business name

MUELLER DRUGS, INC.

Practice address

132 S Main St
Jefferson, WI 53549

Phone

(920) 674-5733

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Joshua S LotzNPI 1134552342

Title

Owner

Phone

(920) 674-5733

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua S Lotz, PHARM.D.

  • Pharmacist
  • Jefferson, WI
  • NPI 1134552342
  NPD Authorized official
• Robert William Niebler, RPH

  • Pharmacist
  • Jefferson, WI
  • NPI 1932452851
  NPD (past)
• Ann Elizabeth Palm, BA, RPH

  • Pharmacist
  • Jefferson, WI
  • NPI 1871846857
  NPD (past)
• Tiffany Palm, PHARM.D.

  • Pharmacist
  • Jefferson, WI
  • NPI 1841693751
  NPD (past)
• Renee Spitzer, PHARMD

  • Pharmacist
  • Jefferson, WI
  • NPI 1033462908
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1790880243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S MAIN ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S MAIN ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "53549",
            "telephone_number": "920-674-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUELLER DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "LOTZ",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-674-5733"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "4537-042",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "4537-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33095700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Moldenhauer
• Suzanne A Monda, MSW
• Melissa Anne Mondragon, RN
• Ronalee Ann Monroe, RN
• Christine Mary Moreira, R.N.
• Alexander Nenov, PHARM.D
• Pamela Jean Newcomb
• Jacqueline Nicholson, PT, DPT
• Robert William Niebler, RPH
• Kelly Ann North, LCSW

• Pharmacy in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.