AGNESIAN HEALTHCARE INC
NPI 1962477588
Pharmacy - Community/Retail Pharmacy in Fond Du Lac, WI

Q: What is Agnesian Healthcare Inc's NPI number?

The NPI number for Agnesian Healthcare Inc is 1962477588. It was assigned to this organization in the NPPES registry on February 17, 2006. The provider is doing business as SSM Health Pharmacy.

Q: 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.

Active since February 17, 2006

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8585(920) 926-8935 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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About Agnesian Healthcare Inc NPPES

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

AGNESIAN HEALTHCARE INC (NPI 1962477588), 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

NPI1962477588

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameAGNESIAN HEALTHCARE INC

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8585 · Fax (920) 926-8935

Phone(920) 926-8585

Fax(920) 926-8935

Organization SubpartNo

Authorized OfficialAmy Jo GrinnellFinance Vice President Wi Region · (608) 260-3586

Enumeration DateFebruary 17, 2006

Last NPPES UpdateFebruary 7, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2025

✔ NPI 1962477588 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.

420 E DIVISION ST, Fond Du Lac, WI 54935

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Other Names 1

Doing Business AsSsm Health Pharmacy

Other Identifiers 2

Other2109967Pk

Medicaid3359700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

74 services74 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

71 services71 patients

Other Providers at the Same Location NPPES 20

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

MARY R KELM NP

Nurse Practitioner