Organization Active NPI

Swanson Pharmacy Inc

  • Pharmacist
  • Dodgeville, WI
National Provider Identifier
1902993116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6110042 Issued in WI
Legal business name
SWANSON PHARMACY INC
Practice address
316 W Spring St
Dodgeville, WI 53533-1300
Phone
(608) 935-3443
Fax
(608) 935-3443
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Charles Swanson, RPH
Title
President
Phone
(608) 935-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 6110042 WI Primary

Addresses

Primary practice location

316 W Spring St
Dodgeville, WI 53533-1300

Mailing address

316 W Spring St
Dodgeville, WI 53533-1300
Phone (608) 935-3443

Other identifiers 2

IdentifierTypeStateIssuer
5114436OtherWINABP
33015000MedicaidWI

National Provider Directory

National Provider Directory

Locations

316 W Spring St
Dodgeville, WI 53533
Phone (608) 276-4660

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902993116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W SPRING ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331300",
            "telephone_number": "608-935-3443",
            "fax_number": "608-935-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W SPRING ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331300",
            "telephone_number": "608-935-3443",
            "fax_number": "608-935-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-935-3443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "6110042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5114436",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33015000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.