Pharmaceutical Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

8482042 Issued in WI

Legal business name

PHARMACEUTICAL SERVICES INC

Doing business as

West Bend Assisted Living Pharmacy

Practice address

W209 N17321 Industrial Dr
Jackson, WI 53037-9389

Phone

(262) 677-1401

Fax

(262) 677-9112

NPI assigned

Aug 19, 2006

Last updated

Oct 9, 2007By 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

Mr. Steven F Niebauer, RPH

Title

Owner

Phone

(262) 677-1401

Specialties & licenses 1

Addresses

Other names 1

• West Bend Assisted Living Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1942314570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W209N17321 INDUSTRIAL DR",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379389",
            "telephone_number": "262-677-1401",
            "fax_number": "262-677-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W209 N17321 INDUSTRIAL DR",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379389",
            "telephone_number": "262-677-1401",
            "fax_number": "262-677-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACEUTICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "NIEBAUER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-677-1401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "8482042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bend Assisted Living Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John O'Leary, PA-C
• Dawn O'Shea-Farley, MS
• Jon Charles Oconnell, RPH
• Angela Nicole Ohnesorge, RN
• Sonali Patel, O.D.
• Pharmscript of Wi LLC
• Samantha Radke
• Carol Lynn Radovich, NP
• Sue C Radtke, PH.D.
• Christina Marie Rutsch, M.D.

• Long Term Care Pharmacy in Jackson, WI
• Providers in Jackson, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.