NPIMap

Organization Active NPI

Glander Inc

Doing business as Glander Prescriptions Plus

  • Long Term Care Pharmacy
  • Sheboygan, WI
National Provider Identifier
1801397914
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
855742 Issued in WI
Legal business name
GLANDER INC
Doing business as
Glander Prescriptions Plus
Practice address
3529 Superior Ave
Sheboygan, WI 53081-1865
Phone
(920) 459-2755
Fax
(920) 803-7519
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Robert BoucheNPI 1306912159
Title
President
Phone
(920) 459-2755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 855742 WI Primary

Addresses

Primary practice location

3529 Superior Ave
Sheboygan, WI 53081-1865

Mailing address

3529 Superior Ave
Sheboygan, WI 53081-1865
Phone (920) 459-2755

Other identifiers 2

IdentifierTypeStateIssuer
33158600MedicaidWI
2176009OtherPK

Other names 1

  • GLANDER PRESCRIPTIONS PLUS Doing business as

National Provider Directory

National Provider Directory

Locations

3529 Superior Ave
Sheboygan, WI 53081
Phone (920) 459-2755

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1801397914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811865",
            "telephone_number": "920-459-2755",
            "fax_number": "920-803-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811865",
            "telephone_number": "920-459-2755",
            "fax_number": "920-803-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLANDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "BOUCHE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-459-2755"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "855742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33158600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLANDER PRESCRIPTIONS PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.