Prohealth Oconomowoc Memorial Hospital, Inc.
NPI 1982797312ActiveOrganization· Pharmacy, Institutional Pharmacy· Oconomowoc, WI
Pharmacy, Institutional Pharmacy in Oconomowoc, Wisconsin, registered in NPPES in September 2006. The authorized official on file is Thomas W. Johnson, RPH, Reimbursement Manager.
Overview
| NPI | 1982797312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2006 |
| Last updated in NPPES | Dec 14, 2022 |
| Certified by provider | Dec 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | 4758042 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Institutional Pharmacy providers in Oconomowoc
- 1902681703