Thedacare Medical Center - Shawano, Inc.
NPI 1306516604 · Community/Retail Pharmacy · Shawano, WI
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thedacare Medical Center - Shawano, Inc. is a Community/Retail Pharmacy organization in Shawano, WI (NPI 1306516604).
Provider details
- NPI number
- 1306516604
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- William Flett, Cfo(920) 454-4013
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Thedacare Apothecary-Shawano
- Doing business as
- Thedacare Apothecary-Shawano
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Frequently asked questions
- What is Thedacare Medical Center - Shawano, Inc.'s NPI number?
- Thedacare Medical Center - Shawano, Inc.'s National Provider Identifier (NPI) is 1306516604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thedacare Medical Center - Shawano, Inc.?
- Thedacare Medical Center - Shawano, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Thedacare Medical Center - Shawano, Inc. located?
- Thedacare Medical Center - Shawano, Inc.'s practice location on file with NPPES is 100 County Road B, Shawano, WI 54166-7072.
- What is Thedacare Medical Center - Shawano, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Thedacare Medical Center - Shawano, Inc. is (715) 526-7300.
- Does Thedacare Medical Center - Shawano, Inc. accept Medicare?
- Thedacare Medical Center - Shawano, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Thedacare Medical Center - Shawano, Inc.?
- The authorized official listed on Thedacare Medical Center - Shawano, Inc.'s NPPES record is William Flett, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thedacare Medical Center - Shawano, Inc.'s NPI active?
- Yes — Thedacare Medical Center - Shawano, Inc.'s NPI (1306516604) is active in the NPPES registry as of the last update on 2024-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.