Nicolet Pharmacy Inc
Community/Retail Pharmacy
15481 Commercial Rd, Lakewood
Wisconsin, 54138-9677
715-276-3646 715-276-9568
Nicolet Pharmacy Inc is a Community/Retail Pharmacy in Lakewood, Wisconsin. 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 Inc is Gary Donaldson who is Owner of the pharmacy and his contact number is 715-276-3646. Active license number of Nicolet Pharmacy Inc is 757642 for Community/Retail Pharmacy in Wisconsin. Nicolet Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Nicolet 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:
Nicolet 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: | Nicolet Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 15481 Commercial Rd, Lakewood,
Wisconsin, 54138-9677 |
| Phone: | 715-276-3646 |
| Fax: | 715-276-9568 |
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: | 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 Inc 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 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 |
| 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 Inc 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 Inc at
15481 Commercial Rd, Lakewood, Wisconsin or can
call on customer care at 715-276-3646.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.