AGNESIAN HEALTHCARE INC
NPI 1326013962
Pharmacy - Community/Retail Pharmacy in Fond Du Lac, WI

Active since February 17, 2006
912 S HICKORY ST, FOND DU LAC, WI 54935(920) 929-7480(920) 929-8779 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2025, Dec 17, 2024, Dec 15, 2024 and 1 more (4 updates tracked since 2016).

About Agnesian Healthcare Inc NPPES

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

AGNESIAN HEALTHCARE INC (NPI 1326013962), doing business as Ssm Health Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Fond Du Lac, Wisconsin and active in the NPI registry since February 2006. The organization lists Amy Jo Grinnell, Finance Vice President Wi Region, as its authorized official.

NPPES Registry Identity

NPI1326013962
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address912 S HICKORY STFond Du Lac, WI 54935-5530
Mailing Address912 S Hickory StFond Du Lac, WI 54935-5530 · (920) 929-7480 · Fax (920) 929-8779
Fax(920) 929-8779
Organization SubpartNo
Authorized OfficialAmy Jo GrinnellFinance Vice President Wi Region · (608) 260-3586
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 23, 20254 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
NPI 1326013962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.

912 S HICKORY ST, Fond Du Lac, WI 54935

Other Names 1

Doing Business AsSsm Health Pharmacy

Other Identifiers 3

Other2110220Pk
Medicaid100321857WI
Medicaid33283000WI

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Clinical Medical Laboratory
912 S HICKORY ST
FOND DU LAC, WI 54935
Family Medicine
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Clinic/Center (Multi-Specialty)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935

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 Agnesian Healthcare Inc's NPI number?

The NPI number for Agnesian Healthcare Inc is 1326013962. It was assigned to this organization in the NPPES registry on February 17, 2006. The provider is doing business as SSM Health Pharmacy.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 912 S Hickory St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-7480.

What is Agnesian Healthcare Inc's specialty?

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

What insurance does Agnesian Healthcare Inc 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 50 other insurers list Agnesian Healthcare 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 Agnesian Healthcare Inc was last updated on July 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.