Thrive Health Center Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

9198-42 Issued in WI

Legal business name

THRIVE HEALTH CENTER PHARMACY

Practice address

831 Critter CT
Suite 300
Onalaska, WI 54650-8674

Phone

(608) 519-4622

Fax

(608) 519-4612

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. David Scott Lattos, R.PH.

Title

Pharmacist/Owner

Phone

(608) 519-4622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1891132999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CRITTER CT",
            "address_2": "SUITE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508674",
            "telephone_number": "608-519-4622",
            "fax_number": "608-519-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 CRITTER CT",
            "address_2": "SUITE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508674",
            "telephone_number": "608-519-4622",
            "fax_number": "608-519-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "LATTOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "608-519-4622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WI",
            "license": "9198-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Thienes, COTA
• Charles Thimmesch
• Jaclyn Suzanne Thomas
• Monika Eva Thompson
• Thrive Chiropractic and Wellness Center, LLC
• Chad M Thurman, MD
• Kelsey Thurston
• Penny A Tilden, CADC
• Tini Teeth Pediatric Dentistry LLC
• James L Tomlin, PA

• Compounding Pharmacy in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Compounding Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.