Luxemburg Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LUXEMBURG PHARMACY, LLC

Practice address

125 School Creek TRL
Luxemburg, WI 54217-1095

Phone

(920) 845-5832

Fax

(920) 845-5834

NPI assigned

Sep 16, 2006

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine C Seidl, RPHNPI 1134305543

Title

Co-Owner/Managing Pharmacist

Phone

(920) 845-5832

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Luxemburg Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luxemburg Pharmacy, LLC

  • Long Term Care Pharmacy
  • Luxemburg, WI
  • NPI 1164948816
  NPD tax ID

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.

• Christine C Seidl, RPH

  • Pharmacist
  • Luxemburg, WI
  • NPI 1134305543
  NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1922104934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-5832",
            "fax_number": "920-845-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-5832",
            "fax_number": "920-845-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXEMBURG PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "SEIDL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER/MANAGING PHARMACIST",
        "authorized_official_telephone_number": "920-845-5832",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8299-042",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail 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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33268500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ludolph
• Luxemburg Casco School District
• Luxemburg Emergency and Rescue Service Association (Luxemburg Emergency Service and Rescue Service Luxemburg Rescue Squad)
• Luxemburg Family Chiropractic, SC
• Luxemburg Pharmacy, LLC
• Sadie Lynn Mleziva, MS CCC SLP
• Kaylee T Ninnemann, LPC
• Lisa Marie Noskowiak, LPN
• Amanda Marie Olson, RN, BSN
• P&J Oaks (Oak Creek Assisted Living)

• Community/Retail Pharmacy in Luxemburg, WI
• Providers in Luxemburg, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.

Verify at the official NPI Registry.