MD GROUP LLC (NPI# 1598768137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598768137 |
| Entity Type | Organization |
| Organization Name | MD GROUP LLC |
| Other Organization Name | EVANSVILLE HOMETOWN PHARMACY |
| Practice Address |
21 W Main St Evansville WI 53536-1143 |
| Mailing Address |
Po Box 245 333 Lowville Road Rio WI 53960-0245 |
| Practice Telephone | 6088824550 |
| Practice Fax Number | 6088820149 |
| Mailing Telephone | 9209926800 |
| Mailing Fax Number | 9209926801 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | DIANE DEANS (CONTRACTING SPECIALIST) |
| Authorized Official Telephone | 9209926800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8433-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2114593 | 01 | |
| WI | 33266200 | 05 |
| Other Name | Type Code |
|---|---|
| EVANSVILLE HOMETOWN PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205870672 | Md Group LLC | Durable Medical Equipment & Medical Supplies | 4880 Larson Beach Rd, Mc Farland, WI 53558-8724 | 2006-06-16 |
| 1417999897 | Md Group LLC | Durable Medical Equipment & Medical Supplies | 645 S Main St, De Forest, WI 53532-1421 | 2006-06-12 |
| 1811939150 | Md Group LLC | Durable Medical Equipment & Medical Supplies | 815 N Main St, Oregon, WI 53575-1005 | 2006-06-12 |
| Street Address |
21 W MAIN ST |
| City | EVANSVILLE |
| State | WI |
| Zip Code | 53536-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072999 | Jenna Lynne Anderson | Pharmacist | 21 W Main St, Evansville, WI 53536-1143 | 2020-07-31 |
| 1235360280 | Allison Herrick | Pharmacist | 21 W Main St, Evansville, WI 53536-1143 | 2009-08-06 |
| 1407949464 | Ronald B. Mabie | Pharmacist | 21 W Main St, Evansville, WI 53536-1143 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
| 1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
| 1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
| 1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
| 1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
| 1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
| Find all providers in zip 53536 | ||||
| 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 |
|---|---|---|---|---|
| 1760570030 | Pauls Pharmacy Inc | Pharmacy | 1225 Washington Sq, Evansville, IN 47715-6807 | 2006-10-11 |
| 1437252954 | Hook Superx LLC | Pharmacy | 801 N 1st Ave, Evansville, IN 47710-1937 | 2006-09-07 |
| 1760585434 | Hook Superx LLC | Pharmacy | 4480 N 1st Ave, Evansville, IN 47710-3622 | 2006-09-07 |
| 1346343860 | Hook Superx LLC | Pharmacy | 5120 Weston Rd, Evansville, IN 47712-3702 | 2006-09-07 |
| 1841393576 | Hook Superx LLC | Pharmacy | 2344 Covert Ave, Evansville, IN 47714-3814 | 2006-09-07 |
| 1447353966 | Hook Superx LLC | Pharmacy | 4700 Lincoln Ave, Evansville, IN 47714-0658 | 2006-09-07 |
| 1669575379 | Hook Superx LLC | Pharmacy | 2020 E Morgan Ave, Evansville, IN 47711-4310 | 2006-09-07 |
| 1538262050 | Hook Superx LLC | Pharmacy | 1145 Washington Ave, Evansville, IN 47714-1845 | 2006-09-07 |
| 1851494520 | Hook Superx LLC | Pharmacy | 609 N Saint Joseph Ave, Evansville, IN 47712-5554 | 2006-09-07 |
| 1770598807 | Walgreen Co | Pharmacy | 2015 Covert Ave, Evansville, IN 47714-3707 | 2006-07-29 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 53536 |
Please comment or provide details below to improve the information on MD GROUP LLC.
| 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.