Rasmussen Village Pharmacy, INC.
Pharmacy, Community/Retail Pharmacy in Baldwin, WI. Organization (NPI-2).
NPI number1609832500
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1609832500
- Entity type
- Organization (NPI-2)
- Legal business name
- Rasmussen Village Pharmacy, INC.
- Organization subpart
- No
- Enumeration date
- Apr 21, 2006
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – |
Other names
- Village Pharmacy (Doing Business As)
Practice location
840 Main StBaldwin, WI 54002-0015
Phone 715-684-2674 · Fax 715-684-4076
Mailing address
Po Box 15Baldwin, WI 54002-0015
Phone 715-684-2674 · Fax 715-684-4076
Authorized official
David P Willink
Owner/Pharmacist
7156842674
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