Dreier Pharmacy and Gift Shop Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

5962042 Issued in WI

Legal business name

DREIER PHARMACY AND GIFT SHOP INC

Practice address

117 S Main St
Shawano, WI 54166-2357

Phone

(715) 526-2011

Fax

(715) 524-6377

NPI assigned

Nov 7, 2005

Last updated

Jan 15, 2008By 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

Tim D Dreier, RPH

Title

Vice President

Phone

(715) 526-2011

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Dreier Pharmacy and Gift Shop Inc2 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.

• Dreier Pharmacy and Gift Shop Inc

  • Long Term Care Pharmacy
  • Shawano, WI
  • NPI 1366067654
  NPD tax ID

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.

• Timothy Dreier, RPH

  • Pharmacist
  • Shawano, WI
  • NPI 1366043325
  NPD
• Jennifer L. St. Louis, PT

  • Physical Therapist
  • Neenah, WI
  • NPI 1992818561
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1952382178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662357",
            "telephone_number": "715-526-2011",
            "fax_number": "715-524-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662357",
            "telephone_number": "715-526-2011",
            "fax_number": "715-524-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREIER PHARMACY AND GIFT SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "DREIER",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "715-526-2011",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "5962042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33055100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5109221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Dorsch, DDS
• John Milton Dovorany, DDS
• Bree Downie
• Roxanne Doyle Keszo, OD
• Dreier Pharmacy and Gift Shop Inc
• Timothy Dreier, RPH
• Cassandra Ebeling
• Rebecca A Egan, MSE
• Sally Susan Egan, ATC, LAT, CSCS
• Kathleen Marie Elertson, NP

• Pharmacist in Shawano, WI
• Providers in Shawano, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.