DEAN RETAIL SERVICES, INC. (NPI# 1992815682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992815682 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES, INC. |
| Other Organization Name | SSM HEALTH PRESCRIPTION CENTER |
| Practice Address |
3200 East Racine Street Suite 300 Janesville WI 53546-2343 |
| Mailing Address |
1277 Deming Way Madison WI 53717-1971 |
| Practice Telephone | 6083718100 |
| Practice Fax Number | 6083718105 |
| Mailing Telephone | 6088242687 |
| Mailing Fax Number | 6088242690 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | AMY JO GRINNELL (VP FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEAN HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33205500 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Pharmacy | Doing Business As Name - Organization |
| SSM Health Prescription Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052211 | Dean Retail Services, Inc. | Pharmacy | 310 Integrity Dr, Madison, WI 53717-1416 | 2020-04-20 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1972082881 | Dean Retail Services, Inc. | Pharmacy | 2825 Hunters Trl Ste 300, Portage, WI 53901-3429 | 2018-08-10 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1457461147 | Dean Retail Services, Inc. | Pharmacy | 753 N. Main St, Suite 300, Oregon, WI 53575-1003 | 2006-08-30 |
| 1780794479 | Dean Retail Services, Inc. | Pharmacy | 752 N. High Point Rd, Suite 300, Madison, WI 53717-2236 | 2006-08-30 |
| 1407966195 | Dean Retail Services, Inc. | Pharmacy | 1821 S. Stoughton Rd., Suite 300, Madison, WI 53716-2257 | 2006-08-30 |
| 1124450416 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1300 S Century Ave, Suite 200, Waunakee, WI 53597-2386 | 2013-08-08 |
| 1851414601 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 752 N High Point Rd, Suite 200, Madison, WI 53717-2236 | 2007-04-09 |
| Street Address |
3200 EAST RACINE STREET SUITE 300 |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| 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 |
|---|---|---|---|---|
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1659473767 | Aurora Pharmacy, Inc. | Pharmacy | 2819 N. Lexington Drive, Janesville, WI 53545 | 2006-09-01 |
| 1558376442 | Walgreen Co | Pharmacy | 1717 Milton Ave, Janesville, WI 53545-0884 | 2006-07-29 |
| 1700827672 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1832 W Court St, Janesville, WI 53548-3418 | 2006-06-09 |
| 1942236724 | Mercy Health System Corporation | Pharmacy | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-06-24 |
| 1467498857 | Mercy Health System Corporation | Pharmacy | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2006-06-22 |
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|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.