=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326536525
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THOMPSONS RX WISCONSIN LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2018
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1301 MILL ST
-----------------------------------------------------
City | NEW LONDON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54961-2153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-982-7670
-----------------------------------------------------
Fax | 920-982-7686
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1301 MILL ST
-----------------------------------------------------
City | NEW LONDON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54961-2153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-982-7670
-----------------------------------------------------
Fax | 920-982-7686
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JON THOMPSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 920-982-7670
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number | 9506-42
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------