MC 5 INC (NPI# 1437313384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437313384 |
Entity Type | Organization |
Organization Name | MC 5 INC |
Other Organization Name | MCCULLOUGH'S LTC PHARMACY |
Practice Address |
1173 W Main St Ste F Whitewater WI 53190-1672 |
Practice Telephone | 2624735087 |
Practice Fax Number | 2624737357 |
Mailing Telephone | 2624735087 |
Mailing Fax Number | 2624737357 |
Enumeration Date | 2008-07-10 |
Last Update Date | 2019-08-21 |
Authorized Official Name | ROBERT MCCULLOUGH (PRESIDENT) |
Authorized Official Telephone | 2624735087 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
885142 | WI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2116684 | 01 |
Other Name | Type Code |
---|---|
MCCULLOUGH'S LTC PHARMACY | Doing Business As Name - Organization |
Street Address |
1173 W MAIN ST STE F |
City | WHITEWATER |
State | WI |
Zip Code | 53190-1672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386610046 | Jason J Mackey | Chiropractor | 1173 W Main St, Whitewater, WI 53190-1672 | 2006-02-23 |
1609413061 | Marci A Rueter | Pharmacist | 1173 W Main St, Whitewater, WI 53190-1672 | 2019-12-04 |
1063065175 | Chrysalis Psychotherapy | Clinic/Center | 1173 W Main St, Whitewater, WI 53190-1672 | 2019-07-17 |
1679125587 | Julie Mccalip | Social Worker | 1173 W Main St, Whitewater, WI 53190-1672 | 2019-07-10 |
1730745191 | Alana Elsie Everson | Pharmacist | 1173 W Main St, Whitewater, WI 53190-1672 | 2019-05-11 |
1578808002 | Sara Hathaway | Pharmacist | 1173 W Main St, Whitewater, WI 53190-1672 | 2012-12-10 |
1740490739 | Robert Mccullough | Pharmacist | 1173 W Main St, Whitewater, WI 53190-1672 | 2007-05-22 |
1740359736 | John Schaaf Sheldon | Pharmacist | 1173 W Main St, Whitewater, WI 53190-1672 | 2006-11-06 |
1093824880 | Mc5 Inc | Pharmacy | 1173 W Main St, Whitewater, WI 53190-1672 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962908608 | Shannon Bashor | Specialist/Technologist | 907 W Schwager Dr, Whitewater, WI 53190 | 2018-04-02 |
1922542695 | Terry Teipner | Counselor | 1173 W Main St Ste B, Whitewater, WI 53190 | 2016-12-14 |
1063800100 | Courtney Stefanski | Specialist/Technologist | 900 Schwager Drive, Whitewater, WI 53190 | 2014-12-23 |
1275942989 | Courtney Palubicki | Specialist/Technologist | 907 W. Schwager Drive, Whitewater, WI 53190 | 2014-08-06 |
1548491087 | Ann Marie Welch | Registered Nurse | 9640 N. County Line Rd, Whitewater, WI 53190 | 2009-07-31 |
1780801423 | Marsha Lee Mckinnon | Registered Nurse | 710 Starin Road, Whitewater, WI 53190 | 2007-04-20 |
1164599387 | Michael J Kellum | Emergency Medicine | W9575 Homburg Lane, Whitewater, WI 53190 | 2006-11-30 |
1861596371 | Brian William Veale | Chiropractor | 543 S Putnam St, Whitewater, WI 53190 | 2006-09-13 |
1629508908 | Erin Kae Clark | Specialist/Technologist | 800 W Main St, Williams Center 105g, Whitewater, WI 53190 | 2017-06-19 |
1952854150 | Rebecca K Hamman | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190 | 2016-07-25 |
Find all providers in zip 53190 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
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1922646579 | Medical Health Pharmacy LLC | Pharmacy | 8845 S Greenview Dr Ste 1, Middleton, WI 53562-2562 | 2019-12-13 |
1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
1568015022 | T A Solberg Co Inc | Pharmacy | 232 S Courtney St Stop 3, Rhinelander, WI 54501-3308 | 2019-07-23 |
1932679081 | Janesville Hometown Pharmacy LLC | Pharmacy | 21 S Jackson St Ste 100, Janesville, WI 53548-3859 | 2018-12-03 |
1902371107 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Rd, Green Bay, WI 54313-7124 | 2018-10-04 |
1962999805 | Guardian Pharmacy of Madison, LLC | Pharmacy | N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 | 2018-04-17 |
1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
1487101754 | Evergreen Pharmacy LLC | Pharmacy | 10101 W Greenfield Ave, West Allis, WI 53214-3953 | 2016-09-05 |
1639548142 | Lynja Inc | Pharmacy | 3215 8th St S Ste 101, Wisconsin Rapids, WI 54494-6564 | 2015-09-15 |
Find all providers with the same taxonomy |
City | WHITEWATER |
Zip Code | 53190 |
Please comment or provide details below to improve the information on MC 5 INC.
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.