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WALLY SHONG PHARMACY
NPI 1104928902
Pharmacy - Community/Retail Pharmacy in Augusta, WI

Active since September 02, 2006CLIA 52D2269314 · Waiver
153 W LINCOLN ST, AUGUSTA, WI 54722(715) 286-2515(715) 286-4102 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2023, Nov 22, 2021, Jul 20, 2021 and 2 more (5 updates tracked since 2016).

About Wally Shong Pharmacy NPPES

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

WALLY SHONG PHARMACY (NPI 1104928902) is a healthcare organization registered as a community/retail pharmacy in Augusta, 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

NPI1104928902
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMACARE LTD
Location Address153 W LINCOLN STAugusta, WI 54722-9152
Mailing AddressPo Box 364Augusta, WI 54722-0364 · (715) 286-2515 · Fax (715) 286-4102
Phone(715) 286-2515
Fax(715) 286-4102
Organization SubpartNo
Authorized OfficialBrandin HenkeCredentialing · (715) 833-6770
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMay 11, 20235 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1104928902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
153 W LINCOLN ST, Augusta, WI 54722
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Other Names 1

Doing Business AsWally Shong Pharmacy

Other Identifiers 1

Medicaid33263400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 52D2269314

Wally Shong Pharmacy · Augusta, WI
Active · expires Sep 22, 2026
CLIA Number52D2269314
Laboratory TypePharmacy
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDiana Odagard
Laboratory Phone(715) 286-2515
Laboratory LocationWally Shong Pharmacy153 W Lincoln St, Augusta, WI 54722
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.
36 services36 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.
31 services31 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Pharmacare Ltd carries, from the Medicare DMEPOS supplier directory.

Pharmacare Ltd

DMEPOS supplier · Augusta, WI
✔

Accepts Medicare assignment

Pharmacare Ltd 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)20480579
Medicare Participant SinceJanuary 1, 2016
Supplier Location153 W Lincoln StAugusta, WI 54722
Phone(715) 286-2515
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
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
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 4

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

PHARMACARE LTD
Pharmacy (Long Term Care Pharmacy)
153 W LINCOLN ST
AUGUSTA, WI 54722
Eau Claire County (715) 286-2515
JEANNE SACKMANN
Pharmacist
153 W LINCOLN ST
AUGUSTA, WI 54722
Eau Claire County (715) 286-2515
SELENA RICK
Pharmacist
153 W LINCOLN ST
AUGUSTA, WI 54722
Eau Claire County (715) 286-2515
BRIAN EVANS
Pharmacist
153 W LINCOLN ST
AUGUSTA, WI 54722
Eau Claire County (715) 286-2515

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 1104928902. It was assigned to this organization in the NPPES registry on September 2, 2006. The provider is doing business as Wally Shong Pharmacy.

Where is Pharmacare Ltd located?

Pharmacare Ltd is located at 153 W Lincoln St, Augusta, WI 54722. The listed phone number is (715) 286-2515.

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, Pharmacare Ltd 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 52D2269314) 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 52 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 May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.