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THEDACARE PHARMACY - WAUTOMA
NPI 1184784159
Pharmacy - Community/Retail Pharmacy in Wautoma, WI

Active since December 11, 2006
N2934 HWY 22 N, WAUTOMA, WI 54982(920) 787-5757(920) 787-5382 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2017, Feb 16, 2017, Nov 23, 2016 and 1 more (4 updates tracked since 2015).

About Thedacare Pharmacy - Wautoma NPPES

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

THEDACARE PHARMACY - WAUTOMA (NPI 1184784159) is a healthcare organization registered as a community/retail pharmacy in Wautoma, Wisconsin and active in the NPI registry since December 2006. The organization lists Alissa Gies, Pharmacist Of Record, as its authorized official.

NPPES Registry Identity

NPI1184784159
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHEDACARE MEDICAL CENTER-BERLIN INC
Location AddressN2934 HWY 22 NWautoma, WI 54982-5267
Mailing AddressN2934 Hwy 22 NWautoma, WI 54982 · (920) 787-5757 · Fax (920) 787-5382
Phone(920) 787-5757
Fax(920) 787-5382
Organization SubpartNo
Authorized OfficialAlissa GiesPharmacist Of Record · (920) 787-5757
Enumeration DateDecember 11, 2006
Last NPPES UpdateApril 18, 20174 updates tracked since enumeration
✔ NPI 1184784159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 7733-42
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
N2934 HWY 22 N, Wautoma, WI 54982
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Other Names 1

Doing Business AsThedacare Pharmacy - Wautoma

Other Identifiers 3

Medicaid33230600WI
Other2108771Pk
Medicare NSC1276240001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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.

JEFFREY JAMES WHITE PHARMD
Pharmacist
N2934 HWY 22 N
WAUTOMA, WI 54982
Waushara County (920) 787-5757
BRIAN SCHULTZ
Pharmacist
N2934 HWY 22 N
WAUTOMA, WI 54982
Waushara County (920) 787-5757

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 Thedacare Medical Center-Berlin Inc's NPI number?

The NPI number for Thedacare Medical Center-Berlin Inc is 1184784159. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Thedacare Pharmacy - Wautoma.

Where is Thedacare Medical Center-Berlin Inc located?

Thedacare Medical Center-Berlin Inc is located at N2934 Hwy 22 N, Wautoma, WI 54982. The listed phone number is (920) 787-5757.

What is Thedacare Medical Center-Berlin Inc's specialty?

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

What insurance does Thedacare Medical Center-Berlin Inc accept?

Health plans from CareSource (Common Ground Healthcare) list Thedacare Medical Center-Berlin 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 Thedacare Medical Center-Berlin Inc was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.