PHILLIPS DRUG STORE, INC. – NPI #1740252857
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.

Health Care Provider Taxonomy Code for Pharmacy

PHILLIPS DRUG STORE, INC. is a pharmacy located in MAUSTON, WI. NPPES has assigned the NPI number 1740252857 to PHILLIPS DRUG STORE, INC. on February 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 15 years ago on Feb 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIPS DRUG STORE, INC. below.

NPI Profile for
PHILLIPS DRUG STORE, INC.

NPI Number
1740252857
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHILLIPS DRUG STORE, INC.
Primary location
123 E STATE ST
MAUSTON, WI 53948
Phone: (608) 847-5949 Fax: (608) 847-5004
Mailing address
PO BOX 136
MAUSTON, WI 53948-0136
Phone: (608) 847-5949 Fax:
Organization Subpart
No
Authorized Official
WAYNE MACARDY
PRESIDENT
Phone: (608) 847-5949
Updated
Identifiers

Identifiers for PHILLIPS DRUG STORE, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI33095800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)		 WI 5621042

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.