MEDICINE SHOPPE 0605,LTD
NPI 1841302767
Pharmacy in Monona, WI

Active since August 31, 2006CLIA 52D2268868 · Waiver
4502 MONONA DR, MONONA, WI 53716(608) 221-8151(608) 221-4682 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medicine Shoppe 0605,ltd NPPES

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

MEDICINE SHOPPE 0605,LTD (NPI 1841302767) is a healthcare organization registered as a pharmacy in Monona, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Eric C Hewitt, Owner Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1841302767
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEASTSIDE PHARMACY ASSOCIATES, LTD
Location Address4502 MONONA DRMonona, WI 53716-1051
Mailing Address4205 Monona DrMonona, WI 53716-1663 · (608) 221-8151 · Fax (608) 221-4682
Fax(608) 221-4682
Organization SubpartNo
Authorized OfficialEric C HewittOwner Pharmacist · (608) 221-8151
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1841302767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in WI · 8942-042
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.
4502 MONONA DR, Monona, WI 53716

Other Names 1

Doing Business AsMedicine Shoppe 0605,ltd

Other Identifiers 2

Other5117014Other Id Number-commercial Number
Medicaid33046300WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2268868

Medicine Shoppe Pharmacy 0605, Ltd · Monona, WI
Active · expires Sep 18, 2026
CLIA Number52D2268868
Laboratory TypePharmacy
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorEric C. Hewitt
Laboratory Phone(608) 221-8151
Laboratory LocationMedicine Shoppe Pharmacy 0605, Ltd4205 Monona Dr, Monona, WI 53716
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 22

Medicare supplier enrollment and the product categories The Medicine Shoppe 0605 Ltd carries, from the Medicare DMEPOS supplier directory.

The Medicine Shoppe 0605 Ltd

DMEPOS supplier · Monona, WIOperated by Eastside Pharmacy Associates, Ltd

Does not accept Medicare assignment

The Medicine Shoppe 0605 Ltd has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20561279
Medicare Participant SinceOctober 17, 2007
Supplier Location4205 Monona DrMonona, WI 53716
Supplier Specialties
Orthotic Personnel Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Eastside Pharmacy Associates, Ltd's NPI number?

The NPI number for Eastside Pharmacy Associates, Ltd is 1841302767. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Medicine Shoppe 0605,ltd.

Where is Eastside Pharmacy Associates, Ltd located?

Eastside Pharmacy Associates, Ltd is located at 4502 Monona Dr, Monona, WI 53716. The listed phone number is (608) 221-8151.

What is Eastside Pharmacy Associates, Ltd's specialty?

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

Does Eastside Pharmacy Associates, Ltd accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, The Medicine Shoppe 0605 Ltd does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Eastside Pharmacy Associates, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2268868) is associated with this NPI, valid through September 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastside Pharmacy Associates, Ltd accept?

Health plans from Medica and Moda Health Plan, Inc. list Eastside Pharmacy Associates, Ltd 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 Eastside Pharmacy Associates, Ltd was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.