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MR. MARK STEPHEN VANDERMAUSE BS PHARMACY RPH
NPI 1306122262
Pharmacist in Kaukauna, WI

Active since October 24, 2011
2412 CROOKS AVE, KAUKAUNA, WI 54130(920) 759-9165 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Stephen Vandermause Bs Pharmacy Rph NPPES

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

MR. MARK STEPHEN VANDERMAUSE BS PHARMACY RPH (NPI 1306122262) is an individual pharmacist in Kaukauna, Wisconsin, licensed in Wisconsin (9249-40) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1306122262
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. MARK STEPHEN VANDERMAUSECredential: BS PHARMACY RPH
Location Address2412 CROOKS AVEKaukauna, WI 54130-3914
Mailing AddressN4086 County Road CFreedom, WI 54913-7759 · (920) 832-4065
Phone(920) 759-9165
Sole ProprietorNo
Enumeration DateOctober 24, 2011
✔ NPI 1306122262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 9249-40
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2412 CROOKS AVE, Kaukauna, WI 54130
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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.

MRS. DEANNA LEA BAUGHMAN PHARM D
Pharmacist
2412 CROOKS AVE
KAUKAUNA, WI 54130
Outagamie County (920) 759-9165
MATTHEW H GOODMAN PHARMD
Pharmacist
2412 CROOKS AVE
KAUKAUNA, WI 54130
Outagamie County (920) 759-9165

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 Mark Vandermause's NPI number?

The NPI number for Mark Vandermause is 1306122262. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Mark Vandermause located?

Mark Vandermause practices at 2412 Crooks Ave, Kaukauna, WI 54130. The listed phone number is (920) 759-9165.

What is Mark Vandermause's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Vandermause was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.