James Pharmacy - Turtle Lake LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

684542 Issued in WI

Legal business name

JAMES PHARMACY - TURTLE LAKE LTD

Practice address

215 Maple St S
Turtle Lake, WI 54889-8003

Phone

(715) 986-2225

Fax

(715) 986-4079

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Paige Wiles

Title

Admin Assistant

Phone

(715) 418-3478

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• JAMES PHARMACY LTD Doing business as

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Avery Halberg, RPH

  • Pharmacist
  • Turtle Lake, WI
  • NPI 1689720518
  NPD (past)
• Jacob Jensen

  • Pharmacist
  • Turtle Lake, WI
  • NPI 1497187074
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1861590853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "548890046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAPLE ST S",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "548898003",
            "telephone_number": "715-986-2225",
            "fax_number": "715-986-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PHARMACY - TURTLE LAKE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "715-418-3478"
    },
    "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": "684542",
            "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": "PK",
            "identifier": "2113176",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33108200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES PHARMACY LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Frances Gavioli, PT
• Clair Gille
• Melissa Joan Gunther, RDH
• John Avery Halberg, RPH
• Impact Rd Services LLC
• Jacob Jensen
• Donna Lynn Johnson, PMHNP-BC, FNP-BC
• Heather Marie Kinnunen, RDH
• Susanne Rose Knight, R.H.D
• Patrick D Liedl, D.D.S.

• Community/Retail Pharmacy in Turtle Lake, WI
• Providers in Turtle Lake, 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 4, 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.