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MOLTER FAMILY PHARMACY LLC
NPI 1487328548
Pharmacy in Tomah, WI

Active since August 03, 2021
701 E CLIFTON ST, TOMAH, WI 54660(608) 372-4115(608) 372-4116 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2021, Aug 3, 2021 (2 updates tracked since 2021).

About Molter Family Pharmacy Llc NPPES

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

MOLTER FAMILY PHARMACY LLC (NPI 1487328548), doing business as Molter's Pharmacy, is a healthcare organization registered as a pharmacy in Tomah, Wisconsin and active in the NPI registry since August 2021. The organization lists Mark Ray Molter, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1487328548
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMOLTER FAMILY PHARMACY LLC
Location Address701 E CLIFTON STTomah, WI 54660-2633
Mailing Address701 E Clifton StTomah, WI 54660-2633 · (608) 372-4115
Phone(608) 372-4115
Fax(608) 372-4116
Organization SubpartNo
Authorized OfficialMark Ray MolterOwner/managing Member · (608) 372-5355
Enumeration DateAugust 3, 2021
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1487328548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
701 E CLIFTON ST, Tomah, WI 54660
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Other Names 1

Doing Business AsMolter's Pharmacy

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molter Family Pharmacy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20211203000848Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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.

BRIAN L GAUL PHARMD
Pharmacist
701 E CLIFTON ST
TOMAH, WI 54660
Monroe County (608) 372-4115
MARK MOLTER
Pharmacist
701 E CLIFTON ST
TOMAH, WI 54660
Monroe County (608) 372-5355

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 Molter Family Pharmacy LLC's NPI number?

The NPI number for Molter Family Pharmacy LLC is 1487328548. It was assigned to this organization in the NPPES registry on August 3, 2021. The provider is doing business as Molter's Pharmacy.

Where is Molter Family Pharmacy LLC located?

Molter Family Pharmacy LLC is located at 701 E Clifton St, Tomah, WI 54660. The listed phone number is (608) 372-4115.

What is Molter Family Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Molter Family Pharmacy LLC enrolled in Medicare?

Yes. Molter Family Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Molter Family Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Mass Immunization (Roster Biller Only)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Molter Family Pharmacy LLC was last updated on October 14, 2021. 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.