Ellsworth Village Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

8321-040 Issued in WI

Legal business name

ELLSWORTH VILLAGE PHARMACY INC.

Doing business as

Village Pharmacy

Practice address

183 E Main St
Ellsworth, WI 54011-9188

Phone

(715) 273-4466

Fax

(715) 273-5414

NPI assigned

Nov 28, 2006

Last updated

Aug 22, 2020By 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. Joel C. Schulze, RPH.

Title

Owner

Phone

(715) 273-4466

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Village Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952477903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E MAIN ST",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540119188",
            "telephone_number": "715-273-4466",
            "fax_number": "715-273-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E MAIN ST",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540119188",
            "telephone_number": "715-273-4466",
            "fax_number": "715-273-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH VILLAGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULZE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-273-4466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8321-040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5111062",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33052400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellsworth Area Ambulance Service Inc
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• Ellsworth Chiropractic & Wellness LLC
• Ellsworth Chiropractic Inc
• Ellsworth Community School District
• Alyssa Churchill Engle, OTD, OTR/L
• Anna Fesenmaier
• Mark Clifford Gillen, LPC
• Gregory W Bernard DC PA
• Paulette Kay Haus, RN

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

• 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.