Linderud Apothecaries LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LINDERUD APOTHECARIES LLC

Doing business as

Three Lakes Pharmacy

Practice address

1790 Superior St
Three Lakes, WI 54562-9046

Phone

(715) 546-3266

NPI assigned

Nov 25, 2022

Last updated

May 18, 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

Dr. Jessica Linderud, PHARMDNPI 1285224501

Title

Pharmacist

Phone

(715) 784-0262

Specialties & licenses 1

Addresses

Other names 1

• Three Lakes Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Jessica Linderud, PHARMD

  • Pharmacist
  • Crandon, WI
  • NPI 1285224501
  NPD Authorized official

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1801506316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "THREE LAKES",
            "state": "WI",
            "postal_code": "545620437",
            "telephone_number": "715-546-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUPERIOR ST",
            "city": "THREE LAKES",
            "state": "WI",
            "postal_code": "545629046",
            "telephone_number": "715-546-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDERUD APOTHECARIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "LINDERUD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "715-784-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Lakes Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard J. Deaver, P.T.
• DJH Inc (Three Lakes Pharmacy)
• Linden Fraser, RN
• Elizabeth A Kuhn, MSW, LCSW
• Lakes Dental Services, Inc.
• William C. Martineau, D.D.S.
• Moe Drugs LLC (Three Lakes Pharmacy)
• Seth Moe, PHARM D.
• Jean Frances Reed, COTA
• Three Lakes School District

• Pharmacy in Three Lakes, WI
• Providers in Three Lakes, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.