NPIMap

Organization Active NPI

Marshland Drugs Inc

Doing business as Marshland Compounding Center

  • Community/Retail Pharmacy
  • Mayville, WI
National Provider Identifier
1841399730
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8060042 Issued in WI
Legal business name
MARSHLAND DRUGS INC
Doing business as
Marshland Compounding Center
Practice address
1028 Horicon St
Mayville, WI 53050-1429
Phone
(920) 387-7800
Fax
(920) 387-7809
NPI assigned
Sep 21, 2006
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Staci Williams, PHARMDNPI 1205018785
Title
Manager
Phone
(920) 387-7800

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
Community/Retail Pharmacy 3336C0003X 8060042 WI Primary

Addresses

Primary practice location

1028 Horicon St
Mayville, WI 53050-1429

Mailing address

1028 Horicon St
Mayville, WI 53050-1429
Phone (920) 387-7800

Other identifiers 1

IdentifierTypeStateIssuer
5126378OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MARSHLAND COMPOUNDING CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1028 Horicon St
Mayville, WI 53050
Phone (888) 327-8811

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1841399730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 HORICON ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501429",
            "telephone_number": "920-387-7800",
            "fax_number": "920-387-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 HORICON ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501429",
            "telephone_number": "920-387-7800",
            "fax_number": "920-387-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHLAND DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-387-7800",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8060042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5126378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHLAND COMPOUNDING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.