Active NPI
Maxine Ische, PHARMACIST
- Pharmacist
- Chippewa Falls, WI
National Provider Identifier
1851980957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11220-40
- Practice address
- 13 E Spruce St
Chippewa Falls, WI 54729-2579 - Phone
- (715) 861-4422
- Fax
- (715) 861-5141
- NPI assigned
- Jan 13, 2021
- Last updated
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11220-40 | WI | Primary |
Addresses
Primary practice location
13 E Spruce St
Chippewa Falls, WI 54729-2579
Mailing address
13 E Spruce St
Chippewa Falls, WI 54729-2579
Phone (715) 861-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11220-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC RX Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1851980957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 E SPRUCE ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292579",
"telephone_number": "715-861-4422",
"fax_number": "715-861-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 E SPRUCE ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292579",
"telephone_number": "715-861-4422",
"fax_number": "715-861-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISCHE",
"first_name": "MAXINE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11220-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.