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THE PHARMACY OF NEW LONDON INC. NPI 1295847119


NPI Information

NPI: 1295847119
Provider Name: THE PHARMACY OF NEW LONDON INC.

Doing Business As: JERNEGAN'S HEALTH MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1301 MILL ST
NEW LONDON, WI
ZIP 54961
Phone: (920) 982-7670
Get Directions

THE PHARMACY OF NEW LONDON INC. is a community/retail pharmacy pharmacy in New London, WI. The provider is 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. THE PHARMACY OF NEW LONDON INC. NPI is 1295847119. The provider is registered as an organization entity type.
The provider Is Doing Business As Jernegan's Health Mart Pharmacy.

The provider's business location address is:

1301 MILL ST
NEW LONDON, WI
ZIP 54961-153
Phone: (920) 982-7670
Fax: (920) 982-7686

The provider's authorized official is Jim Jernegan .
The authorized official title is Owner Pharmacist and has the following contact phone number (920) 982-7670.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy6861WISCONSINNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133152900MEDICAIDWISCONSIN
25118698OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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