Active NPI
Pharmacare LTD
- Pharmacy
- Chippewa Falls, WI
National Provider Identifier
1902962889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PHARMACARE LTD
- Practice address
- 212 Bay Street
Chippewa Falls, WI 54729-2491 - Phone
- (715) 723-9177
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy E Levin
- Title
- President
- Phone
- (715) 833-6770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
212 Bay Street
Chippewa Falls, WI 54729-2491
Mailing address
212 Bay Street
Chippewa Falls, WI 54729-2491
Phone (715) 723-9177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5103356 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 36222000 | Medicaid | WI |
Other names 1
- KONSELLA HEALTH MART PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120202000575 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082829601 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Whitehall, WI; Bloomer, WI; Mondovi, WI; Barron, WI; Chetek, WI; Augusta, WI |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474848000000",
"number": "1902962889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BAY STREET",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292491",
"telephone_number": "715-723-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BAY STREET",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292491",
"telephone_number": "715-723-9177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2016-09-26",
"status": "A",
"authorized_official_last_name": "LEVIN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-833-6770"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5103356",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36222000",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KONSELLA HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.