Active NPI
F and J Inc
- Community/Retail Pharmacy
- Wausau, WI
National Provider Identifier
1811084015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8252042
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5122332 | Other | OTHER ID NUMBER | |
| 5122332 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33205000WI | Medicaid | WI |
Other names 1
- SOUTHSIDE PHARMACY
National Provider Directory
National Provider DirectoryNPI 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.