Chippewa Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8721 Issued in WI

Legal business name

CHIPPEWA PHARMACY INC

Doing business as

Medicine Shoppe

Practice address

603 N Bridge St
Chippewa Falls, WI 54729-2424

Phone

(715) 723-9192

Fax

(715) 723-6463

NPI assigned

Aug 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Winger, RPHNPI 1023387503

Title

Owner Pharmacist

Phone

(715) 723-9192

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

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.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul David Winger, RPH

  • Pharmacist
  • Chippewa Falls, WI
  • NPI 1023387503
  NPD (past) Authorized official
• Thomas Olson, RPH

  • Pharmacist
  • Chippewa Falls, WI
  • NPI 1992073530
  NPD (past)
• Brian G Roesler, R,PH.

  • Pharmacist
  • Chippewa Falls, WI
  • NPI 1669480109
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790890747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292424",
            "telephone_number": "715-723-9192",
            "fax_number": "715-723-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "715-723-9192",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33296800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5120922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chippewa Falls Assisted Living LLC (Dove Healthcare - Rutledge Home Assisted Living)
• Chippewa Falls Chiropractic, S.C.
• Chippewa Falls Rcac, LLC
• Chippewa Fire Protection District Inc. (Chippewa Fire District)
• Chippewa Manor Nursing and Rehabilitation Corporation
• Chippewa Valley Eye Clinic Chippewa Falls SC
• Chippewa Valley Eye Clinic SC (Chippewa Optical)
• Chippewa Valley Health Cooperative
• Chippewa Valley Independent Psychiatry LLC
• Chippewa Valley Physical Therapy SC

• Community/Retail Pharmacy in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• 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.
• 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.