Active NPI
Tangen Drug Inc
- Community/Retail Pharmacy
- Saint Croix Falls, WI
National Provider Identifier
1992743348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5271-42
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113064 | Other | PK | |
| 05810857900 | Medicaid | MN | |
| 33100300 | Medicaid | WI |
Other names 1
- TANGEN DRUG INC
National Provider Directory
National Provider DirectoryNPI 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.