DEGEN-BERGLUND, INC (NPI# 1215965611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215965611 |
| Entity Type | Organization |
| Organization Name | DEGEN-BERGLUND, INC |
| Practice Address |
2441 Green Bay St La Crosse WI 54601 |
| Mailing Address |
Po Box 3157 La Crosse WI 54602-3157 |
| Practice Telephone | 6087758571 |
| Practice Fax Number | 6087758578 |
| Mailing Telephone | 6087758500 |
| Mailing Fax Number | 6087758555 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | DANIEL RECKASE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6087758500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
8773-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0516526 | 05 | |
| WI | NCPDP | 5106489 | 01 |
| WI | 33236300 | 05 | |
| WI | DEA | FD0491934 | 01 |
| Street Address |
2441 GREEN BAY ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548435886 | John Peter Boysen | Pharmacist | 2441 Green Bay St, Iv Pharmacy, La Crosse, WI 54601 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
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| 1477005197 | Ministry Home Care Services, LLC | Pharmacy | 10050 S 27th St, Oak Creek, WI 53154-5520 | 2016-10-28 |
| 1730260233 | Chartwell Midwest Wisconsin, LLC | Pharmacy | 1345 Deming Way Ste 100, Middleton, WI 53562-3688 | 2006-10-18 |
| 1225047871 | Wheaton Franciscan Healthcare Pharmacy Ent & Franciscan Woods | Pharmacy | 5000 W Chambers St Fl 8, Milwaukee, WI 53210-1650 | 2006-08-05 |
| 1477587699 | Vna Partners In Care Inc | Pharmacy | 931 Discovery Rd, Green Bay, WI 54311-8002 | 2006-07-11 |
| 1275567497 | Vna Partners In Care Inc | Pharmacy | 11333 W National Ave, Milwaukee, WI 53227-3111 | 2006-07-11 |
| 1972534154 | Option Care Home Care Inc | Pharmacy | 1435 N 113th St, Wauwatosa, WI 53226-3213 | 2006-07-05 |
| 1306494620 | Froedtert Health Home Infusion LLC | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2019-08-29 |
| 1326496704 | Ministry Home Care Services LLC | Pharmacy | 5000 W Chambers St, 8 West, Milwaukee, WI 53210-1650 | 2016-05-26 |
| 1003186396 | Affinity Biotech, Inc | Pharmacy | 7635 W Oklahoma Ave, Suite #214, Milwaukee, WI 53219-3600 | 2012-01-04 |
| 1629250402 | Rxsys Inc | Pharmacy | 3000 N Brookfield Rd, Brookfield, WI 53045-3023 | 2007-12-03 |
| Find all providers with the same taxonomy | ||||
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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.