Island City Apothecary LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9490-42 Issued in WI

Legal business name

ISLAND CITY APOTHECARY LTD

Doing business as

The Apothecary

Practice address

1470 Webb St
Cumberland, WI 54829-9187

Phone

(715) 822-2424

Fax

(715) 822-5470

NPI assigned

Jul 15, 2005

Last updated

Sep 19, 2025By 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

Thomas Goldsmith, RPH

Title

Owner

Phone

(715) 822-2424

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• THE APOTHECARY Doing business as

Locations

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.

• Mary L Babka-Goldsmith, R.PH.

  • Pharmacist
  • Cumberland, WI
  • NPI 1669807079
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1851390496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 WEBB ST",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299187",
            "telephone_number": "715-822-2424",
            "fax_number": "715-822-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 WEBB ST",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299187",
            "telephone_number": "715-822-2424",
            "fax_number": "715-822-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CITY APOTHECARY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-822-2424",
        "authorized_official_credential": "RPH"
    },
    "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": "9490-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851390496",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Allen Hendricks, D.D.S.
• Dustin Hetke, O.D.
• Christine A. Hines, NP
• Kayla A Holmen
• Nicole Marie Huber, PA-C
• Lee R Jacobson, OD
• JB Signature Homes, LLC
• Craig Alexander Jennings, MD
• Kaitlyn Jensen, LAT, PTA
• Karen Elizabeth Jergenson, RN

• Community/Retail Pharmacy in Cumberland, WI
• Providers in Cumberland, 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 Sep 19, 2025; 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.