Organization Active NPI

F and J Inc

  • Community/Retail Pharmacy
  • Wausau, WI
National Provider Identifier
1811084015
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8252042 Issued in WI
Legal business name
F AND J INC
Practice address
2106 Grand Ave
Wausau, WI 54403-6912
Phone
(715) 845-3713
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Mr. Aaron R. Franck, RPH
Title
Owner Pharmacist
Phone
(715) 845-3713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8252042 WI Primary

Addresses

Primary practice location

2106 Grand Ave
Wausau, WI 54403-6912

Mailing address

2106 Grand Ave
Wausau, WI 54403-6912
Phone (715) 845-3713

Other identifiers 3

IdentifierTypeStateIssuer
5122332OtherOTHER ID NUMBER
5122332OtherOTHER ID NUMBER-COMMERCIAL NUMBER
33205000WIMedicaidWI

Other names 1

  • SOUTHSIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1811084015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036912",
            "telephone_number": "715-845-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036912",
            "telephone_number": "715-845-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F AND J INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "FRANCK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "715-845-3713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8252042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5122332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5122332",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33205000WI",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.