Organization Active NPI

Tangen Drug Inc

  • Community/Retail Pharmacy
  • Saint Croix Falls, WI
National Provider Identifier
1992743348
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5271-42 Issued in WI
Legal business name
TANGEN DRUG INC
Doing business as
TANGEN DRUG INC
Practice address
124 N Washington St
Saint Croix Falls, WI 54024-9243
Phone
(715) 483-3271
Fax
(715) 483-1847
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Josh Tempesta, PHRAMD
Title
President/Pharmacist
Phone
(715) 483-3271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5271-42 WI Primary

Addresses

Primary practice location

124 N Washington St
Saint Croix Falls, WI 54024-9243

Mailing address

PO Box 430
Saint Croix Falls, WI 54024-0430
Phone (715) 483-3271

Other identifiers 3

IdentifierTypeStateIssuer
2113064OtherPK
05810857900MedicaidMN
33100300MedicaidWI

Other names 1

  • TANGEN DRUG INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1992743348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540240430",
            "telephone_number": "715-483-3271",
            "fax_number": "715-483-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249243",
            "telephone_number": "715-483-3271",
            "fax_number": "715-483-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGEN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "TEMPESTA",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "715-483-3271",
        "authorized_official_credential": "PHRAMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "5271-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05810857900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33100300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANGEN DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Croix Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.