BELLICOSE INTERNATIONAL INC. (NPI# 1528625985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528625985 |
| Entity Type | Organization |
| Organization Name | BELLICOSE INTERNATIONAL INC. |
| Other Organization Name | WOOD RIVER PHARMACY LONG TERM CARE |
| Practice Address |
122 W Madison Ave Grantsburg WI 54840-7022 |
| Mailing Address |
Po Box 39 Grantsburg WI 54840-0039 |
| Practice Telephone | 7154632525 |
| Practice Fax Number | 7154635343 |
| Mailing Telephone | 7154632525 |
| Mailing Fax Number | 7154635343 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | MR. CHRISTOPHER JOHN WITZANY (MANAGER) |
| Authorized Official Telephone | 7154632525 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33154200 | 05 |
| Other Name | Type Code |
|---|---|
| Wood River Pharmacy Long Term Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174980 | Bellicose International Inc. | Durable Medical Equipment & Medical Supplies | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2005-06-14 |
| Street Address |
122 W MADISON AVE |
| City | GRANTSBURG |
| State | WI |
| Zip Code | 54840-7022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174980 | Bellicose International Inc. | Durable Medical Equipment & Medical Supplies | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2005-06-14 |
| 1407365166 | Taylor James Paap | Pharmacist | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2017-09-26 |
| 1558605550 | Anis Ben Tahar | Pharmacist | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679886618 | Maria Javaid | Internal Medicine | Shalamar Link Road, Lahore, Pakistan, Shalamar Institute of Health Sciences, Lahore, PUNJAB 54840 | 2010-07-20 |
| 1508949082 | Gary L Kaefer Dds Sc | Dentist | 302 South Pine St, Grantsburg, WI 54840 | 2006-10-20 |
| 1275544967 | Christopher John Witzany | Pharmacist | 122 W. Madison Ave., Grantsburg, WI 54840 | 2006-08-10 |
| 1841613619 | Christina Lachae Markovitz | Nurse Practitioner | 257 W Saint George Ave, Grantsburg, WI 54840 | 2014-01-29 |
| 1932141157 | David A Lang | Family Medicine | 257 W Saint George Ave, Grantsburg, WI 54840 | 2006-06-12 |
| 1790745446 | Richard Wayne Burris | Physician Assistant | 257 W Saint George Ave, Grantsburg, WI 54840 | 2006-03-26 |
| 1821425927 | Nancy Yvette Longhenry | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2013-10-03 |
| 1063877421 | Richelle Christianson | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2015-12-29 |
| 1952788945 | Lean On Me Home Care | In Home Supportive Care | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2015-04-29 |
| 1760896732 | Barbara Everson | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2014-06-17 |
| Find all providers in zip 54840 | ||||
| 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] |
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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 | GRANTSBURG |
| Zip Code | 54840 |
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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.