VAN'S CORNER DRUG
NPI 1376628396
Pharmacist in Waupun, WI

Active since October 26, 2006
401 E MAIN ST, WAUPUN, WI 53963(920) 324-5211(920) 324-4360 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Van's Corner Drug NPPES

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

VAN'S CORNER DRUG (NPI 1376628396) is a healthcare organization registered as a pharmacist in Waupun, Wisconsin and active in the NPI registry since October 2006. The organization lists Mark J Vandelist, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1376628396
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameVAN'S CORNER DRUG
Location Address401 E MAIN STWaupun, WI 53963-2161
Mailing Address401 E Main StWaupun, WI 53963-2161 · (920) 324-5211 · Fax (920) 324-4360
Fax(920) 324-4360
Organization SubpartNo
Authorized OfficialMark J VandelistPharmacist · (920) 324-5211
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1376628396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 7714-042
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.
401 E MAIN ST, Waupun, WI 53963

Other Identifiers 2

Other5114373WI · Ncpdp
Medicaid33226400WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Van's Corner Drug's NPI number?

The NPI number for Van's Corner Drug is 1376628396. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Van's Corner Drug located?

Van's Corner Drug is located at 401 E Main St, Waupun, WI 53963. The listed phone number is (920) 324-5211.

What is Van's Corner Drug'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 Van's Corner Drug was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.