SISTER BAY PHARMACY NPI 1740392661

NPI Information

  • NPI: 1740392661
  • Provider Name: SISTER BAY PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 326 COUNTRY WALK LN
    6A
    SISTER BAY, WI
    ZIP 54234
  • Phone: (920) 854-4121

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NPI Details

SISTER BAY PHARMACY is a pharmacy in Sister Bay, WI. The provider is 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. SISTER BAY PHARMACY NPI is 1740392661. The provider is registered as an organization entity type.

The provider's business location address is:

326 COUNTRY WALK LN
6A
SISTER BAY, WI
ZIP 54234-482
Phone: (920) 854-4121
Fax: (920) 854-9531

The provider's authorized official is James Thomas .
The authorized official title is President and has the following contact phone number (920) 854-4121.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

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
1333600000XPharmacy7147042WISCONSINYes
23336C0003XPharmacyCommunity/Retail PharmacyX
33336L0003XPharmacyLong Term Care PharmacyX

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
15120578OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
233178800MEDICAIDWISCONSIN

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: 3/30/2025

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