WISCONSIN VETERANS HOME PHCY — NPI 1235151267 (Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy in KING, WI)

CMS-1500 Box 24J / 33a • NPI

1235151267

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336L0003X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy

Box 32 Service Location & ZIP+4

N2665 COUNTY ROAD QQ, KING, WI, 54946-0600

✓ 9-Digit EDI 837 ZIP+4 (54946-0600)

Practice Phone & Referral Fax

(715) 258-1674

Fax: (715) 258-3327

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235151267 (WISCONSIN VETERANS HOME PHCY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235151267` (NPI-2 Organization / Facility)
Provider / Legal Name	WISCONSIN VETERANS HOME PHCY
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy NUCC Code: `3336L0003X` (Pharmacy, Long Term Care Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	N2665 COUNTY ROAD QQ, KING, WI, 54946-0600
Practice Telephone / Fax	Tel: (715) 258-1674 \| Fax: (715) 258-3327
Administrative Mailing Address	N2665 COUNTY ROAD QQ, KING, WI, 54946-0600
Enumeration & Last Sync	Enumerated: 2006-07-25 \| CMS Record Updated: 2026-01-08
Authorized Official	COLT COONEY (SUPERVISOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

N2665 COUNTY ROAD QQ, KING, WI, 54946-0600

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Plain-English Taxonomy & CMS Crosswalk (3336L0003X)

What Does Taxonomy Code 3336L0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336L0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Long Term Care Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WISCONSIN VETERANS HOME PHCY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336L0003X` — Pharmacy, Long Term Care Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy	State: WI \| License: `5568` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WISCONSIN VETERANS HOME PHCY (NPI #1235151267)