MEDPAK PHARMACY
NPI 1679801807
Pharmacy - Long Term Care Pharmacy in La Crosse, WI

NPI Status: Active since November 30, 2009

Contact Information

505 KING ST STE 154
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-4448
Fax: (608) 782-4449

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About MEDPAK PHARMACY

This page provides the complete NPI Profile along with additional information for Medpak Pharmacy, a provider established in La Crosse, Wisconsin operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1679801807 assigned on November 2009. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Medpak Pharmacy. The authorized official of this NPI record is Kristy Basseuner (Pharmacy Technician)

NPI
1679801807
Provider Legal Name
KCJE FORD INC
Other Organization Name
MEDPAK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 KING ST STE 154 LA CROSSE, WI 54601
Location Phone
(608) 782-4448
Location Fax
(608) 782-4449
Mailing Address
PO BOX 2496 LA CROSSE, WI 54602
Mailing Phone
(608) 782-4448
Mailing Fax
(608) 782-4449
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2009
Last Update Date
08-11-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

9122-042 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTY BASSEUNER

Authorized Official Title
PHARMACY TECHNICIAN
Authorized Official Phone
(608) 784-9922

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100007292MEDICAID (05)WI 
2122806OTHER (01)PK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679801807
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149160280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 6 + 0 + 2 + 8 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1679801807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

GUNDERSEN CLINIC LTD

Pharmacy

(Long Term Care Pharmacy)

505 KING ST STE 154
LA CROSSE, WI
ZIP 54601

(608) 782-4448

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679801807, enumerated as an "organization" on November 30, 2009.

The provider is located at 505 KING ST STE 154 LA CROSSE, WI 54601 and the phone number is (608) 782-4448.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.