Marinette Menominee Prescription Center LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9392-42 Issued in WI

Legal business name

MARINETTE MENOMINEE PRESCRIPTION CENTER LTD

Practice address

1378 Main St
Marinette, WI 54143-2425

Phone

(715) 732-0717

Fax

(715) 732-0596

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Wilke, B.S.

Title

Pic/Owner

Phone

(715) 732-0717

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• VALUCARE CENTER HEALTH MART PHARMACY Doing business as

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871546705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 MAIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432425",
            "telephone_number": "715-732-0717",
            "fax_number": "715-732-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 MAIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432425",
            "telephone_number": "715-732-0717",
            "fax_number": "715-732-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINETTE MENOMINEE PRESCRIPTION CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "715-732-0717",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9392-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871546705",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9509274",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112092",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33114900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALUCARE CENTER HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Marie Majerus, DPT
• Tyler Dean Manley, DO
• Elwyn C Mantei, MD
• Marinette County Health & Human Services
• Marinette County Health and Human Services
• Marinette School District
• Marinette-Menominee Prescription Center LTD
• Lynette Mary Marklein, PT, DPT, ATC
• Anthony R Mars, MD
• Edgar J Massabni, MD

• Community/Retail Pharmacy in Marinette, WI
• Providers in Marinette, 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 Sep 19, 2025; 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.