Rusk County Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9251-42 Issued in WI

Legal business name

RUSK COUNTY PHARMACY, INC

Practice address

312 W 9TH St N
Ladysmith, WI 54848-1269

Phone

(715) 532-3339

Fax

(715) 532-3330

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Joshua J Prohaska

Title

Owner

Phone

(715) 415-1891

Specialties & licenses 2

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1821415258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 9TH ST N",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481269",
            "telephone_number": "715-532-3339",
            "fax_number": "715-532-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 9TH ST N",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481269",
            "telephone_number": "715-532-3339",
            "fax_number": "715-532-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSK COUNTY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "PROHASKA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-415-1891"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9251-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE PHARMACY LICENSE",
            "identifier": "10092-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rusk County
• Rusk County
• Rusk County
• Rusk County Memorial Hospital
• Rusk County Memorial Hospital Pharmacy
• Rusk County Public Health Department
• Rusk County Senior Services
• Rusk County Senior Services
• Rusk County Transit Commission
• Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St Francis

• Community/Retail Pharmacy in Ladysmith, WI
• Providers in Ladysmith, 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 Oct 22, 2024; 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.