Nicolet Pharmacy is an authorized DME supplier for medicare equipments and products.
Nicolet Pharmacy is a Community/Retail Pharmacy in Lakewood, Wisconsin. This pharmacy is owned and operated by Nicolet Pharmacy Inc. It is located at 15481 Commercial Rd, Lakewood and it's customer support contact number is 715-276-3646. The authorized person of Nicolet Pharmacy is Gary Donaldson who is Owner of the pharmacy and his contact number is 715-276-3646. Active license number of Nicolet Pharmacy is 757642 for Community/Retail Pharmacy in Wisconsin. Nicolet Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Nicolet Pharmacy 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:
Nicolet Pharmacy 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.
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:
Gary Donaldson
Position:
Owner
Contact Number:
715-276-3646
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:
1851321566
NPI Enumeration Date:
05 Jul, 2006
NPI Last Update On:
10 Oct, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicolet Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
757642
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Compounding 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
33214400
Medicaid
Wisconsin
2115483
Other
Pk
Medicare Enrollment:
Nicolet Pharmacy 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
0042330094
O20100930040494
Nicolet Pharmacy, Inc.
DME SUPPLIER - PHARMACY
0042330094
O20130516000387
Nicolet Pharmacy, Inc.
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Nicolet Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Diabetic Shoes & Inserts: Custom Fabricated
Diabetic Shoes & Inserts: Prefabricated
Infusion Pumps & Supplies: Insulin Infusion
Nebulizer Equipment & Supplies
Ostomy Supplies
Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
Surgical Dressings
Tracheostomy Supplies
Transcutaneous Electrical Nerve Stimulators (tens) Units
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:
15481 Commercial Rd, Lakewood, Wisconsin
Zip:
54138-9677
Phone Number:
715-276-3646
Fax Number:
715-276-9568
Patients can reach Nicolet Pharmacy at 15481 Commercial Rd, Lakewood, Wisconsin or can call on customer care at 715-276-3646.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.