Shell Lake Pharmacy Ltd
Shell Lake Pharmacy Ltd is a healthcare organization registered as Community/Retail Pharmacy in Shell Lake, WI, holding Type 2 (organization) NPI 1356413850 since 2006. The authorized official on file is Paige Wiles, Admin Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356413850 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shell Lake Pharmacy Ltd |
| Practice address | 113 4TH AVE, Shell Lake, WI, 54871 |
| Phone | 7154687800 |
| Fax | 7154687921 |
| Enumeration date | 2006-11-14 |
| Last updated in NPPES | 2024-10-04 |
Authorized official
| Name | Paige Wiles |
|---|---|
| Title | Admin Assistant |
| Phone | 7154183478 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 6461042 | WI |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33038100 | Medicaid | WI | — |
Copy-ready billing details
Provider: Shell Lake Pharmacy Ltd NPI: 1356413850 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 113 4TH AVE, Shell Lake, WI, 54871
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316905482 | Joel Anderson | Individual | Physical Therapist | Shell Lake, WI |
| 1841201027 | Catherine Reuter | Individual | Pediatrics Physician | Shell Lake, WI |
| 1477951143 | Steven Jacobson | Individual | Registered Respiratory Therapist | Shell Lake, WI |
| 1962920926 | Shell Lake Pharmacy Ltd | Organization | Long Term Care Pharmacy | Shell Lake, WI |
| 1659899078 | Indianhead Medical Center Shell Lake, Inc. | Organization | Rural Health Clinic/Center | Shell Lake, WI |
| 1003474065 | Alexander Eggen | Individual | Physical Therapist | Shell Lake, WI |
| 1699443424 | Sara Olson | Individual | Family Nurse Practitioner | Shell Lake, WI |
| 1376360610 | Margaret Mussfeldt | Individual | Family Nurse Practitioner | Shell Lake, WI |
Verify this record
Cross-check NPI 1356413850 against the authoritative CMS record: view Shell Lake Pharmacy Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Shell Lake Pharmacy Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-10-04.