NCS Healthcare of Wisconsin, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NCS HEALTHCARE OF WISCONSIN, LLC

Doing business as

Omnicare of Appleton #48379

Practice address

N926 Tower View Dr
Greenville, WI 54942-8102

Phone

(920) 954-5693

Fax

(920) 954-7508

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relatios

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Appleton #48379 Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Member of 2

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

• CVS Pharmacy Inc

  dba CVS Pharmacy #07413

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member
• Neighborcare Pharmacy Services, LLC

  dba Omnicare of San Antonio #48357

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1174559694

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Neighborcare Pharmacy Services, LLC

  dba Omnicare of San Antonio #48357

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1174559694

  Member Of

  NPD member

Locations

Practitioners 1

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

• Jill M Mader, PHARM. D.

  • Pharmacist
  • La Crosse, WI
  • NPI 1508918665
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1871605931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N926 TOWER VIEW DR",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428102",
            "telephone_number": "920-954-5693",
            "fax_number": "920-954-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCS HEALTHCARE OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIOS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Appleton #48379",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Methodist Manor of Waukesha, Inc. (Greenville Manor)
• Jessica Micoley
• Morton Drug Co Inc (Morton Pharmacy)
• Jaclyn Mullins, MD
• National Seating & Mobility, Inc.
• Aliza Olenek
• Ryan Olney, DDS
• Amy M Polzin, MA
• Robin T Price, MD
• Mara Lisa Proft, M.S., L.P.C.

• Long Term Care Pharmacy in Greenville, WI
• Providers in Greenville, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.