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THEDA CLARK PHARMACY
NPI 1245363563
General Acute Care Hospital in Neenah, WI

Active since March 14, 2007

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Theda Clark Pharmacy NPPES

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

THEDA CLARK PHARMACY (NPI 1245363563) is a healthcare organization registered as a general acute care hospital in Neenah, Wisconsin and active in the NPI registry since March 2007. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245363563
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameTHEDA CLARK PHARMACY
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address130 2nd StNeenah, WI 54956-2883 · (920) 729-3090
Phone(920) 729-3090
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateMarch 14, 2007
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1245363563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in WI · 3273
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

130 2ND ST, Neenah, WI 54956
Open in Google Maps ↗

Other Identifiers 1

Medicaid33175500WI

Other Providers at the Same Location NPPES 20

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

NATALIE L GEHRINGER MD
Pediatrics
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 969-7900
JEROME E BORMES MD
Anesthesiology
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
SCOTT BEHRENS MD
Anesthesiology
130 2ND ST, STE A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
MAN Y CHOI MD
Anesthesiology
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
THOMAS J OREGAN MD
Anesthesiology
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
KARL ORTH MD
Anesthesiology
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
ROBIN J GOLDSMITH MD
Anesthesiology
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
STEVEN D REILLY MD
Anesthesiology
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332

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 Theda Clark Pharmacy's NPI number?

The NPI number for Theda Clark Pharmacy is 1245363563. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Theda Clark Pharmacy located?

Theda Clark Pharmacy is located at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 729-3090.

What is Theda Clark Pharmacy's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Theda Clark Pharmacy was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.