O CONNELL PHARMACY LTD NPI 1063781920

NPI Information

  • NPI: 1063781920
  • Provider Name: O CONNELL PHARMACY LTD
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: O'CONNELL PHARMACY LONG TERM CARE
  • CLIA Number: 52D2185669
  • Address: 125 S THOMPSON RD
    SUN PRAIRIE, WI
    ZIP 53590
  • Phone: (608) 837-8002

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NPI Details

O CONNELL PHARMACY LTD is a long term care pharmacy pharmacy in Sun Prairie, WI. The provider is 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. O CONNELL PHARMACY LTD NPI is 1063781920. The provider is registered as an organization entity type.
The provider Is Doing Business As O'connell Pharmacy Long Term Care.

The provider's business location address is:

125 S THOMPSON RD
SUN PRAIRIE, WI
ZIP 53590-526
Phone: (608) 837-8002
Fax: (608) 478-3900

The provider's authorized official is Michelle O'connell .
The authorized official title is Owner and has the following contact phone number (608) 837-5949.

The CLIA number assigned to this NPI record is 52D2185669 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 12/22/2011 and was last updated on 11/22/2023.

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
13336L0003XPharmacyLong Term Care Pharmacy9103-42WISCONSINYes

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
12133222OTHERPK

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: 11/21/2025

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