NPIMap

Organization Active NPI

MBMC Raabe Pharmacy, LLC

  • Community/Retail Pharmacy
  • New Lisbon, WI
National Provider Identifier
1861999856
Registry record updated Apr 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9507-42 Issued in WI
Legal business name
MBMC RAABE PHARMACY, LLC
Practice address
112 S Adams St
New Lisbon, WI 53950-1206
Phone
(608) 562-3302
Fax
(608) 562-3951
NPI assigned
Apr 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2018

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

Authorized official

Name
James O'Keefe
Title
President & Ceo
Phone
(608) 847-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9507-42 WI Primary

Addresses

Primary practice location

112 S Adams St
New Lisbon, WI 53950-1206

Mailing address

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Other names 1

  • Raabe's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523059200000",
    "number": "1861999856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S ADAMS ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501206",
            "telephone_number": "608-562-3302",
            "fax_number": "608-562-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBMC RAABE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-04-07",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "608-847-6161"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9507-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raabe's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raabe's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Lisbon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; 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.