MOUNT HOREB FAMILY PHARMACY LLC
NPI 1003914045
Pharmacy - Community/Retail Pharmacy in Mount Horeb, WI

Q: What is Mount Horeb Family Pharmacy LLC's NPI number?

The NPI number for Mount Horeb Family Pharmacy LLC is 1003914045. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Mount Horeb Family Pharmacy.

Q: What is Mount Horeb Family Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 21, 2006

203 W MAIN ST, MOUNT HOREB, WI 53572(608) 437-3001(608) 437-6480 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2022, Jan 4, 2022, Jul 19, 2018 (3 updates tracked since 2018).

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About Mount Horeb Family Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT HOREB FAMILY PHARMACY LLC (NPI 1003914045), doing business as Mount Horeb Family Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mount Horeb, Wisconsin and active in the NPI registry since September 2006. The organization lists Jennifer Weiland, Business Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1003914045

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMOUNT HOREB FAMILY PHARMACY LLC

Location Address203 W MAIN STMount Horeb, WI 53572-1914

Mailing Address203 W Main StMount Horeb, WI 53572-1914 · (608) 437-3001 · Fax (608) 437-6480

Phone(608) 437-3001

Fax(608) 437-6480

Organization SubpartNo

Authorized OfficialJennifer WeilandBusiness Manager/owner · (608) 437-3001

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJune 8, 20263 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1003914045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 835442

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

203 W MAIN ST, Mount Horeb, WI 53572

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Other Names 1

Doing Business AsMount Horeb Family Pharmacy

Other Identifiers 3

Other2112892Pk

OtherK300846024Medicare Ptan

Medicaid33271700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2266186

Mount Horeb Family Pharmacy · Mount Horeb, WI

Expired · Aug 7, 2026

CLIA Number52D2266186

Laboratory TypePharmacy

Certificate Effective DateAugust 8, 2024

Certificate Expiration DateAugust 7, 2026

Laboratory DirectorMatthew J. Mcgowan

Laboratory Phone(608) 437-3001

Laboratory LocationMount Horeb Family Pharmacy203 W Main St, Mount Horeb, WI 53572

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

305 services299 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

297 services293 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW JOSEPH MCGOWAN PHARM.D., R.PH.

Pharmacist