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BALLWEG FAMILY PHARMACY INC
NPI 1104532654
Pharmacy - Long Term Care Pharmacy in Prairie Du Sac, WI

Active since January 27, 2023CLIA 52D2182656 · Waiver
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578(608) 643-6500 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Jan 27, 2023 (2 updates tracked since 2023).

About Ballweg Family Pharmacy Inc NPPES

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

BALLWEG FAMILY PHARMACY INC (NPI 1104532654) is a healthcare organization registered as a long term care pharmacy in Prairie Du Sac, Wisconsin and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Dennis John Ballweg, President, as its authorized official.

NPPES Registry Identity

NPI1104532654
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBALLWEG FAMILY PHARMACY INC
Location Address1200 PRAIRIE STPrairie Du Sac, WI 53578-2041
Mailing Address1200 Prairie StPrairie Du Sac, WI 53578-2041 · (608) 370-2396
Phone(608) 643-6500
Organization SubpartYesParent: Ballweg Family Pharmacy, Inc
Authorized OfficialDennis John BallwegPresident · (608) 643-6500
Enumeration DateJanuary 27, 2023
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1104532654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1200 PRAIRIE ST, Prairie Du Sac, WI 53578
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Other Names 1

Other NameBallweg Family Pharmacy Inc Long-term Care

Other Identifiers 1

Medicaid33282600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 52D2182656

Ballweg Family Pharmacy · Prairie Du Sac, WI
Active · expires Apr 23, 2028
CLIA Number52D2182656
Laboratory TypePharmacy
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorMr. Dennis J. Ballweg
Laboratory Phone(608) 643-6500
Laboratory LocationBallweg Family Pharmacy1200 Prairie Street, Prairie Du Sac, WI 53578
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MR. DENNIS JOHN BALLWEG R.PH.
Pharmacist
1200 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-6500
CALEB J BALLWEG PHARM.D
Pharmacist
1200 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-6500
BALLWEG FAMILY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1200 PRAIRIE ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-6500

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 Ballweg Family Pharmacy Inc's NPI number?

The NPI number for Ballweg Family Pharmacy Inc is 1104532654. It was assigned to this organization in the NPPES registry on January 27, 2023. The provider is also known as BALLWEG FAMILY PHARMACY INC Long-Term Care.

Where is Ballweg Family Pharmacy Inc located?

Ballweg Family Pharmacy Inc is located at 1200 Prairie St, Prairie Du Sac, WI 53578. The listed phone number is (608) 643-6500.

What is Ballweg Family Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Ballweg Family Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2182656) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ballweg Family Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 15 other insurers list Ballweg Family Pharmacy Inc 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 Ballweg Family Pharmacy Inc was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.