MONDOVI PHARMACY
NPI 1023110830
Pharmacy - Community/Retail Pharmacy in Mondovi, WI

Active since September 02, 2006CLIA 52D2269311 · Waiver
122 S EAU CLAIRE ST, MONDOVI, WI 54755(715) 926-4938(715) 926-5876 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, Jul 20, 2021, Dec 6, 2018 and 1 more (4 updates tracked since 2016).

About Mondovi Pharmacy NPPES

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

MONDOVI PHARMACY (NPI 1023110830) is a healthcare organization registered as a community/retail pharmacy in Mondovi, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Brandin Henke, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1023110830
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMACARE LTD
Location Address122 S EAU CLAIRE STMondovi, WI 54755-1504
Mailing Address122 S Eau Claire StMondovi, WI 54755-1504 · (715) 926-4938 · Fax (715) 926-5876
Fax(715) 926-5876
Organization SubpartNo
Authorized OfficialBrandin HenkeCredentialing · (715) 833-6770
Enumeration DateSeptember 2, 2006
Last NPPES UpdateNovember 15, 20214 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
NPI 1023110830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
122 S EAU CLAIRE ST, Mondovi, WI 54755

Other Names 1

Doing Business AsMondovi Pharmacy

Other Identifiers 1

Medicaid33054100WI

Accepted 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 52D2269311

Mondovi Pharmacy · Mondovi, WI
Active · expires Sep 22, 2026
CLIA Number52D2269311
Laboratory TypePharmacy
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorRich Mestelle
Laboratory Phone(715) 926-4938
Laboratory LocationMondovi Pharmacy122 S Eau Claire St, Mondovi, WI 54755
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.
47 services47 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
37 services37 patients

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Mondovi Pharmacy carries, from the Medicare DMEPOS supplier directory.

Mondovi Pharmacy

DMEPOS supplier · Mondovi, WIOperated by Pharmacare Ltd

Accepts Medicare assignment

Mondovi Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20479721
Medicare Participant SinceJanuary 1, 2016
Supplier Location122 S Eau Claire StMondovi, WI 54755
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchairs (Standard Manual)
Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Wheelchair Seating/Cushions
Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

Pharmacy (Long Term Care Pharmacy)
122 S EAU CLAIRE ST
MONDOVI, WI 54755
Pharmacist
122 S EAU CLAIRE ST
MONDOVI, WI 54755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmacare Ltd's NPI number?

The NPI number for Pharmacare Ltd is 1023110830. It was assigned to this organization in the NPPES registry on September 2, 2006. The provider is doing business as Mondovi Pharmacy.

Where is Pharmacare Ltd located?

Pharmacare Ltd is located at 122 S Eau Claire St, Mondovi, WI 54755. The listed phone number is (715) 926-4938.

What is Pharmacare Ltd's specialty?

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

Does Pharmacare Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mondovi Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Pharmacare Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2269311) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pharmacare Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Pharmacare Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pharmacare Ltd was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.