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WISCONSIN VETERANS HOME PHCY
NPI 1235151267
Pharmacy - Long Term Care Pharmacy in King, WI

Active since July 25, 2006CLIA 52D2087424 · Waiver
N2665 COUNTY ROAD QQ, KING, WI 54946(715) 258-1674(715) 258-3327 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, May 10, 2018, Aug 22, 2016 (3 updates tracked since 2016).

About Wisconsin Veterans Home Phcy NPPES

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

WISCONSIN VETERANS HOME PHCY (NPI 1235151267), doing business as Wisconsin Veterans Home Pharmacy, is a healthcare organization registered as a long term care pharmacy in King, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Colt Cooney, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1235151267
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameWISCONSIN VETERANS HOME PHCY
Location AddressN2665 COUNTY ROAD QQKing, WI 54946-0600
Mailing AddressN2665 County Road QqKing, WI 54946-0600 · (715) 258-1674 · Fax (715) 258-3327
Phone(715) 258-1674
Fax(715) 258-3327
Organization SubpartNo
Authorized OfficialColt CooneySupervisor · (715) 256-5123
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1235151267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in WI · 5568
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.
N2665 COUNTY ROAD QQ, King, WI 54946
Open in Google Maps ↗

Other Names 1

Doing Business AsWisconsin Veterans Home Pharmacy

Other Identifiers 2

Medicaid5112379WI
Other2113651Pk

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 52D2087424

Wisconsin Veterans Home · King, WI
Active · expires Nov 23, 2026
CLIA Number52D2087424
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorDr. Rafael Medina-Flores
Laboratory Phone(715) 258-4240
Laboratory LocationWisconsin Veterans HomeN2665 County Road Qq, King, WI 54946
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

ASHLEY CAVES MS CCC-SLP
Speech-Language Pathologist
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-5586
JODI ANN DAILEY APNP
Nurse Practitioner (Psychiatric/Mental Health)
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 256-3281
MRS. MARION LINDA JOHNSON RICE PHARMACY TECH
Pharmacy Technician
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-1674
MS. ROBIN LYNN DELGADO
Speech-Language Pathologist
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-5586
STATE OF WISCONSIN
Skilled Nursing Facility
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-5586
MS. DEBBIE LE LE LPN, PHARMACY TECH
Licensed Practical Nurse
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-1674
SHIELA JEAN SCHULTZ FNP
Nurse Practitioner (Family)
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-1672
CYNTHIA ANN RENDALL APNP
Nurse Practitioner (Family)
N2665 COUNTY ROAD QQ
KING, WI 54946
Waupaca County (715) 258-5586

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 Wisconsin Veterans Home Phcy's NPI number?

The NPI number for Wisconsin Veterans Home Phcy is 1235151267. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Wisconsin Veterans Home Pharmacy.

Where is Wisconsin Veterans Home Phcy located?

Wisconsin Veterans Home Phcy is located at N2665 County Road Qq, King, WI 54946. The listed phone number is (715) 258-1674.

What is Wisconsin Veterans Home Phcy's specialty?

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

Does Wisconsin Veterans Home Phcy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2087424) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wisconsin Veterans Home Phcy 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 41 other insurers list Wisconsin Veterans Home Phcy 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 Wisconsin Veterans Home Phcy was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.