OCONTO FALLS PHARMACY
NPI 1245319912
Pharmacy - Community/Retail Pharmacy in Oconto Falls, WI

Q: What is Gwidt Pharmacy Inc's NPI number?

The NPI number for Gwidt Pharmacy Inc is 1245319912. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Oconto Falls Pharmacy.

Q: What is Gwidt Pharmacy Inc's specialty?

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

Active since November 03, 2006CLIA 52D2200829 · Waiver

323 E HIGHLAND DR, OCONTO FALLS, WI 54154(920) 848-3721(920) 848-4374 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Oconto Falls Pharmacy NPPES

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

OCONTO FALLS PHARMACY (NPI 1245319912) is a healthcare organization registered as a community/retail pharmacy in Oconto Falls, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Timothy Starry, President, as its authorized official.

NPPES Registry Identity

NPI1245319912

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameGWIDT PHARMACY INC

Location Address323 E HIGHLAND DROconto Falls, WI 54154-1006

Mailing AddressPo Box 129Oconto Falls, WI 54154-0129 · (920) 848-3721 · Fax (920) 848-4374

Phone(920) 848-3721

Fax(920) 848-4374

Organization SubpartNo

Authorized OfficialTimothy StarryPresident · (920) 848-3721

Enumeration DateNovember 3, 2006

Last NPPES UpdateMay 1, 2017

✔ NPI 1245319912 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 · 7999-42

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

323 E HIGHLAND DR, Oconto Falls, WI 54154

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Other Names 1

Doing Business AsOconto Falls Pharmacy

Other Identifiers 3

Other2112905Pk

Medicaid33213600WI

Medicare NSC0150140004

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 52D2200829

Gwidt Pharmacy Inc Dba Oconto Falls Pharmacy · Oconto Falls, WI

Active · expires Nov 16, 2026

CLIA Number52D2200829

Laboratory TypePharmacy

Certificate Effective DateNovember 17, 2024

Certificate Expiration DateNovember 16, 2026

Laboratory DirectorMr. Timothy P. Starry

Laboratory Phone(920) 848-3721

Laboratory LocationGwidt Pharmacy Inc Dba Oconto Falls Pharmacy323 East Highland Dr, Oconto Falls, WI 54154

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.

75 services75 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.

65 services65 patients

Medical Equipment Supplier Medicare DMEPOS 19

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

Oconto Falls Pharmacy

DMEPOS supplier · Oconto Falls, WIOperated by Gwidt Pharmacy Inc

✔

Accepts Medicare assignment

Oconto Falls 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)20640515

Medicare Participant SinceJanuary 1, 1998

Supplier Location323 E Highland DrOconto Falls, WI 54154

Phone(920) 846-3721

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

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

Blood Glucose Monitors/Supplies (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.

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Other Providers at the Same Location NPPES 5

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

JESSICA OTTEN PHARMD

Pharmacist