ASCENSION WISCONSIN PHARMACY, INC (NPI# 1104305085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104305085 |
| Entity Type | Organization |
| Organization Name | ASCENSION WISCONSIN PHARMACY, INC |
| Other Organization Name | ASCENSION WI PRESCRIPTION CENTER ST. MARY'S HOSPITAL |
| Practice Address |
2251 N Shore Dr Rhinelander WI 54501-6710 |
| Mailing Address |
Po Box 860011 Minneapolis MN 55486-0011 |
| Practice Telephone | 7153559573 |
| Practice Fax Number | 7153559579 |
| Mailing Telephone | 4148741026 |
| Mailing Fax Number | 4148741099 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 9431-42 | WI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Ascension WI Prescription Center St. Mary's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1659362101 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2005-11-03 |
| 1619453990 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 1506 S Oneida St, Appleton, WI 54915-1305 | 2018-07-19 |
| 1154812303 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-05-23 |
| 1306042411 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 13133 N Port Washington Rd, Suite G01, Mequon, WI 53097-2419 | 2007-06-25 |
| 1356336002 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2005-09-19 |
| Street Address |
2251 N SHORE DR |
| City | RHINELANDER |
| State | WI |
| Zip Code | 54501-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262213 | Paula M Havisto | Physician Assistant | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2005-08-18 |
| 1396387452 | Carley Anne Reynolds | Registered Nurse | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2019-10-10 |
| 1538719380 | Allison Marie Grafwallner | Pharmacist | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2019-09-13 |
| 1598222184 | Olivia Marie Szmanda | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2019-03-01 |
| 1952874216 | Ascension Sacred Heart - St Mary's Hospitals, Inc | Durable Medical Equipment & Medical Supplies | 2251 N Shore Dr, Rhinelander, WI 54501-8360 | 2019-01-09 |
| 1477024479 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2018-12-17 |
| 1780179820 | Kelly J Westberg | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501 | 2018-06-29 |
| 1417481383 | Ford Strimenos | Internal Medicine | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2017-04-17 |
| 1639603913 | Nicole Marie Peterson | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501 | 2017-04-13 |
| 1831621994 | Khrystyne Lindgren | Family Medicine | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2017-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1659865582 | Wendy Jahsmann | Physical Therapy Assistant | 1970 Navajo Street, Rhinelander, WI 54501 | 2018-06-14 |
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1467967489 | Harmony Counseling Services Dba Transitions Center | Counselor | 22 N Pelham Str., Rhinelander, WI 54501 | 2017-12-13 |
| 1316392046 | Horace Donn De Yampert | Physical Therapist | 528 Shepard Street, Rhinelander, WI 54501 | 2016-05-02 |
| 1588019582 | Oksana Smith | Physical Therapy Assistant | 1318 Eagle St, Rhinelander, WI 54501 | 2016-04-27 |
| 1639535115 | Rita Jean Semmerling | Counselor | 22 N. Pelham St., Rhinelander, WI 54501 | 2016-01-13 |
| 1891151809 | Jolie Dirrigle | Social Worker | 1020 Kabel Avenue, Rhinelander, WI 54501 | 2016-01-06 |
| 1861758260 | The Country Seed Inc. | Specialist | 210 E. Anderson Street, Rhinelander, WI 54501 | 2012-04-10 |
| 1952605446 | Adam Carlson | Physical Therapist | 7543 Woodboro Heights Rd, Rhinelander, WI 54501 | 2010-12-27 |
| Find all providers in zip 54501 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024479 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | RHINELANDER |
| Zip Code | 54501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.