Agnesian Healthcare, Inc
Home Infusion Therapy Pharmacy
430 E Division St, Fond Du Lac
Wisconsin, 54935-4560
920-926-4666 Agnesian Healthcare, Inc is a Home Infusion Therapy Pharmacy in Fond Du Lac, Wisconsin. It is located at 430 E Division St, Fond Du Lac and it's customer support contact number is 920-926-4666. The authorized person of Agnesian Healthcare, Inc is Amy Grinnell who is Vp-finance, Cfo of the pharmacy and his contact number is 608-260-3586. Agnesian Healthcare, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Agnesian Healthcare, Inc is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Pharmacy Details:
Agnesian Healthcare, 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: | Agnesian Healthcare, Inc |
| Type: | Home Infusion Therapy Pharmacy |
| Location: | 430 E Division St, Fond Du Lac,
Wisconsin, 54935-4560 |
| Phone: | 920-926-4666 |
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: | Amy Grinnell |
| Position: | Vp-finance, Cfo |
| Contact Number: | 608-260-3586 |
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: | 1114992492 |
| NPI Enumeration Date: | 21 Feb, 2006 |
| NPI Last Update On: | 05 Jun, 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 Agnesian Healthcare, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Infusion Therapy Pharmacy | | | Primary | |
| Home Infusion | | | 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 |
| 33255500 | Medicaid | Wisconsin | |
Medicare Enrollment:
Agnesian Healthcare, 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 |
| 1658289624 | O20100930046701 | Agnesian Healthcare Inc | DME SUPPLIER - PHARMACY |
Products Available:
Agnesian Healthcare, Inc has following products available for sale under medicare.
| Products: |
|---|
| • Infusion Pumps & Supplies: External Infusion | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 430 E Division St, Po Box 385
Fond Du Lac, Wisconsin |
| Zip: | 54935-4560 |
| Phone Number: | 920-926-4472 |
| Fax Number: | 920-926-8885 |
Patients can reach Agnesian Healthcare, Inc at
430 E Division St, Fond Du Lac, Wisconsin or can
call on customer care at 920-926-4666.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.