O CONNELL PHARMACY LTD (NPI# 1457319345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457319345 |
| Entity Type | Organization |
| Organization Name | O CONNELL PHARMACY LTD |
| Practice Address |
302 S Grand Ave Sun Prairie WI 53590 |
| Practice Telephone | 6088375949 |
| Practice Fax Number | 6088253253 |
| Mailing Telephone | 6088375949 |
| Mailing Fax Number | 6088253253 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2009-02-16 |
| Authorized Official Name | MARK D O'CONNELL (RPH PRES) |
| Authorized Official Telephone | 6088375949 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 6781-042 | WI | Pharmacy Service Providers |
| N | 333600000X | Pharmacy | DEA FO0684034 | Suppliers | |
| Y | 333600000X | Pharmacy | 8817042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33065000 | 05 | |
| NCPDP | 5118220 | 01 |
| Street Address |
302 S GRAND AVE |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774286 | Joshua D Stine | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2020-09-10 |
| 1225673403 | Holly Altenberger | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2019-11-12 |
| 1033655410 | Ryan Dilley | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2017-01-10 |
| 1275932410 | George Marino | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2014-08-13 |
| 1841614641 | Kristin Carlson | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2014-02-13 |
| 1346588241 | Vanessa Christine Garnhart | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2013-01-28 |
| 1285972273 | Heather Lynn Walker | Pharmacist | 302 S Grand Ave, Sun Prairie, WI 53590-9827 | 2013-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659634988 | Hometown Long Term Care Pharmacy LLC | Pharmacy | 1571 Ivory Dr, Sun Prairie, WI 53590-1820 | 2012-06-21 |
| 1083935233 | Jat Pharmacy LLC | Pharmacy | 5374 Maly Rd, Sun Prairie, WI 53590-9725 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on O CONNELL PHARMACY LTD.
| 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.