NPIMap

Organization Active NPI

Tomah Chemists Inc

Doing business as The Medicine Shoppe Pharmacy of Tomah #1798

  • Community/Retail Pharmacy
  • Tomah, WI
National Provider Identifier
1871342303
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TOMAH CHEMISTS INC
Doing business as
The Medicine Shoppe Pharmacy of Tomah #1798
Practice address
300 Superior Ave
Tomah, WI 54660-1636
Phone
(608) 372-2101
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Saibabu Appalaneni
Title
Owner
Phone
(845) 705-8241

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

300 Superior Ave
Tomah, WI 54660-1636

Mailing address

300 Superior Ave
Tomah, WI 54660-1636
Phone (845) 705-8241

Other names 2

  • The Medicine Shoppe Pharmacy of Tomah #1798 Doing business as
  • THE MEDICINE SHOPPE 1798 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240913001514 WI Part B Supplier - Pharmacy 9032659248 Practice locations: Tomah, WI
O20250218000397 WI DME Supplier - Pharmacy 9032659248 Practice locations: Tomah, WI

National Provider Directory

National Provider Directory
Tax ID family
The Medicine Shoppe 17982 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1871342303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601636",
            "telephone_number": "845-705-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601636",
            "telephone_number": "608-372-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAH CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "SAIBABU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-705-8241"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy of Tomah #1798",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe Pharmacy of Tomah #1798",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MEDICINE SHOPPE 1798",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.