Cornell Pharmacy, Inc.
Community/Retail Pharmacy
300 Main St, Cornell
Wisconsin, 54732-8384
715-239-6453 715-239-6078
Cornell Pharmacy, Inc. is an authorized DME supplier for medicare equipments and products.
Cornell Pharmacy, Inc. is a Community/Retail Pharmacy in Cornell, Wisconsin. It is located at 300 Main St, Cornell and it's customer support contact number is 715-239-6453. The authorized person of Cornell Pharmacy, Inc. is Mr. Joshua J. Prohaska who is Owner of the pharmacy and his contact number is 715-239-6453. Active license number of Cornell Pharmacy, Inc. is 8857-42 for Community/Retail Pharmacy in Wisconsin. Cornell Pharmacy, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Cornell Pharmacy, Inc. 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.
Pharmacy Details:
Cornell Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Cornell Pharmacy, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 300 Main St, Cornell, Wisconsin, 54732-8384 |
| Phone: | 715-239-6453 |
| Fax: | 715-239-6078 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Joshua J. Prohaska |
| Position: | Owner |
| Contact Number: | 715-239-6453 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1265597272 |
| NPI Enumeration Date: | 27 Dec, 2006 |
| NPI Last Update On: | 04 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cornell Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 8857-42 | Wisconsin | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8857-42 | Other | | Wi State Id # |
| 36228500 | Medicaid | Wisconsin | |
Medicare Enrollment:
Cornell Pharmacy, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8628278363 | O20100930035305 | Cornell Pharmacy, Inc. | DME SUPPLIER - PHARMACY |
Products Available:
Cornell Pharmacy, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Ultraviolet Light Devices | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 554, 300 Main St. Cornell, Wisconsin |
| Zip: | 54732-0554 |
| Phone Number: | 715-239-6453 |
| Fax Number: | 715-239-6078 |
Patients can reach Cornell Pharmacy, Inc. at
300 Main St, Cornell, Wisconsin or can
call on customer care at 715-239-6453.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.