Organization Active NPI

Cardins Pharmacy, Inc

Doing business as Cardin's Pharmacy

  • Community/Retail Pharmacy
  • Cuba City, WI
National Provider Identifier
1881690576
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8803-042 Issued in WI
Legal business name
CARDINS PHARMACY, INC
Doing business as
Cardin's Pharmacy
Practice address
117 W. Webster Street
Cuba City, WI 53807-1538
Phone
(608) 744-2195
Fax
(608) 744-2193
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mr. Jon Joseph Wilson, RPHNPI 1871835843
Title
Pharmacy Manager
Phone
(608) 744-2195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8803-042 WI Primary

Addresses

Primary practice location

117 W. Webster Street
Cuba City, WI 53807-1538

Mailing address

117 W. Webster Street
Cuba City, WI 53807-1538
Phone (608) 744-2195

Other identifiers 1

IdentifierTypeStateIssuer
33127000MedicaidWI

Other names 1

  • CARDIN'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

117 W Webster St
Cuba City, WI 53807
Phone (608) 744-2195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1881690576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W. WEBSTER STREET",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071538",
            "telephone_number": "608-744-2195",
            "fax_number": "608-744-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W. WEBSTER STREET",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071538",
            "telephone_number": "608-744-2195",
            "fax_number": "608-744-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "608-744-2195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8803-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33127000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuba City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.