Park Pharmacy Inc
NPI 1689677999ActiveOrganization· Pharmacy· Park Falls, WI
Pharmacy in Park Falls, Wisconsin, registered in NPPES in May 2005. The authorized official on file is Mark Pechacek, Owner. Medicare paid $44,360 for services to 179 patients in 2024.
Overview
| NPI | 1689677999 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2005 |
| Last updated in NPPES | Sep 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 7644-042 | WI |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 7643-042 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (WI); Part B Supplier - Mass Immunization (Roster Biller Only) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 582 across 8 procedure codes |
| Paid by Medicare | $44,360 |