NPIMap

Organization Active NPI

Gwidt Pharmacy Inc

Doing business as Oconto Falls Pharmacy - LongTerm Care

  • Long Term Care Pharmacy
  • Oconto Falls, WI
National Provider Identifier
1922738970
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GWIDT PHARMACY INC
Doing business as
Oconto Falls Pharmacy - LongTerm Care
Practice address
323 E Highland Dr
Oconto Falls, WI 54154-1006
Phone
(920) 848-3721
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GWIDT PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Mr. Timothy P StarryNPI 1215324629
Title
President
Phone
(920) 848-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

323 E Highland Dr
Oconto Falls, WI 54154-1006

Mailing address

PO Box 129
Oconto Falls, WI 54154-0129
Phone (920) 848-3721

Other names 1

  • Oconto Falls Pharmacy - LongTerm Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gwidt Pharmacy Inc5 organizations share this tax ID, including this one
Part of
Gwidt Pharmacy Inc

Other organizations with this tax ID 4

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

Locations

323 E Highland Dr
Oconto Falls, WI 54154
Phone (920) 848-3721

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1922738970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541540129",
            "telephone_number": "920-848-3721",
            "fax_number": "920-848-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E HIGHLAND DR",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541006",
            "telephone_number": "920-848-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWIDT PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GWIDT PHARMACY INC",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "STARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-848-3721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oconto Falls Pharmacy - LongTerm Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconto Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.