Pichelmeyers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6117-042 Issued in WI

Legal business name

PICHELMEYERS INC

Doing business as

Medicine Shoppe

Practice address

320 Wolf River PLZ
New London, WI 54961-1237

Phone

(920) 982-2401

Fax

(920) 982-2402

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Iver J Rudie, R.PH.

Title

Pharmacist

Phone

(920) 982-2401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicine Shoppe Doing business as

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972648905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAYFLOWER CT",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612431",
            "telephone_number": "920-982-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WOLF RIVER PLZ",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549611237",
            "telephone_number": "920-982-2401",
            "fax_number": "920-982-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICHELMEYERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RUDIE",
        "authorized_official_first_name": "IVER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "920-982-2401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6117-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33088600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthopedic & Sports Medicine Specialists of Green Bay, SC
• Rebecca Parker, MS,OTR
• Theresa L Pecher, R.N.
• Jenny Penn, MSN, RN, NCSN
• Kathleen Nora Peters, COTA
• Benjamin T Plass, PHARMD
• Bridget Polley, PT
• Monica Pomasl, RDN
• Hiep T Poppy, P.T.A.
• Robert A Prahl, D.O.

• Community/Retail Pharmacy in New London, WI
• Providers in New London, 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 Mar 7, 2023; 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.