Island Pharmacy Services, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

7780-042 Issued in WI

Legal business name

ISLAND PHARMACY SERVICES, INC.

Practice address

1256 Old Highway 51 South
Arbor Vitae, WI 54568

Phone

(715) 358-7712

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Randal Reek

Title

President

Phone

(715) 358-7712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1851583629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1412",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545681412",
            "telephone_number": "715-358-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 OLD HIGHWAY 51 SOUTH",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "54568",
            "telephone_number": "715-358-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "REEK",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-358-7712"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "7780-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.