NPIMap

Organization Active NPI

Mount Horeb Family Pharmacy LLC

Doing business as Mount Horeb Family Pharmacy

  • Pharmacy
  • Mount Horeb, WI
National Provider Identifier
1902577760
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MOUNT HOREB FAMILY PHARMACY LLC
Doing business as
Mount Horeb Family Pharmacy
Practice address
203 W Main St
Mount Horeb, WI 53572-1914
Phone
(608) 437-3001
Fax
(608) 437-6480
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Jennifer Weiland
Title
Business Manager
Phone
(608) 437-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

203 W Main St
Mount Horeb, WI 53572-1914

Mailing address

203 W Main St
Mount Horeb, WI 53572-1914
Phone (608) 437-3001

Other names 1

  • Mount Horeb Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Horeb Family Pharm3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1902577760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721914",
            "telephone_number": "608-437-3001",
            "fax_number": "608-437-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721914",
            "telephone_number": "608-437-3001",
            "fax_number": "608-437-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT HOREB FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-437-3001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Horeb Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.