WAUKESHA HEALTH SYSTEM INC (NPI# 1073528675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073528675 |
| Entity Type | Organization |
| Organization Name | WAUKESHA HEALTH SYSTEM INC |
| Other Organization Name | PROHEALTH PHARMACY - WAUKESHA |
| Practice Address |
725 American Ave Waukesha WI 53188-5031 |
| Practice Telephone | 2629282279 |
| Practice Fax Number | 2625440928 |
| Mailing Telephone | 2629282279 |
| Mailing Fax Number | 2625440928 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | JESSICA NOWAK (PHCY MGR) |
| Authorized Official Telephone | 2625602303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
669442 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2113659 | 01 | |
| WI | 33154500 | 05 |
| Other Name | Type Code |
|---|---|
| ProHealth Pharmacy - Waukesha | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386982957 | Waukesha Health System Inc | Pharmacy | N16w24131 Riverwood Dr Ste 1121, Waukesha, WI 53188-1106 | 2013-01-16 |
| 1679954242 | Waukesha Health System Inc | Non-Pharmacy Dispensing Site | 240 Maple Ave, Mukwonago, WI 53149-8475 | 2015-06-09 |
| 1003988999 | Waukesha Health System Inc | Rehabilitation, Substance Use Disorder Unit | 3011 Saylesville Rd, Waukesha, WI 53189 | 2006-11-15 |
| Street Address |
725 AMERICAN AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278292 | Margaret A Schueller | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2005-07-08 |
| 1669071809 | Alexandra Jelacic | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2020-10-20 |
| 1730787300 | Savanna Hofstetter | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5099 | 2020-10-15 |
| 1215542303 | Rhianna Rene Roskopf | Specialist/Technologist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-09-15 |
| 1598373060 | Jami Markos | Registered Nurse | 725 American Ave, Waukesha, WI 53188-5031 | 2020-07-21 |
| 1114535374 | Erin Renai Hernikl | Counselor | 725 American Ave, Waukesha, WI 53188-5031 | 2020-07-14 |
| 1962021469 | Jennifer Staver | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-04-14 |
| 1336777531 | Jennifer Marie Kolesar-springhetti | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-04-01 |
| 1003442179 | Sheila Hospidales | Nurse Practitioner | 725 American Ave, Waukesha, WI 53188-5031 | 2020-03-20 |
| 1548895709 | Dominic Chiantello | Physical Therapist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386982957 | Waukesha Health System Inc | Pharmacy | N16w24131 Riverwood Dr Ste 1121, Waukesha, WI 53188-1106 | 2013-01-16 |
| 1114152683 | Roundys Supermarkets Inc | Pharmacy | 1220 W Sunset Dr, Waukesha, WI 53189-8423 | 2009-05-27 |
| 1265580526 | Roundys Supermarkets Inc | Pharmacy | 220 E Sunset Dr, Waukesha, WI 53189-7602 | 2007-01-05 |
| 1619071628 | Moreland Plaza Pharmacy, Inc | Pharmacy | 827 W Moreland Blvd, Waukesha, WI 53188-2963 | 2006-09-11 |
| 1891702775 | Walgreen Co | Pharmacy | 230 Madison St, Waukesha, WI 53188-5148 | 2006-08-02 |
| 1417964305 | Walgreen Co | Pharmacy | 2700 N Grandview Blvd, Waukesha, WI 53188-1611 | 2006-08-02 |
| 1538174602 | Walgreen Co | Pharmacy | 601 Meadowbrook Rd, Waukesha, WI 53188-7312 | 2006-07-29 |
| 1285656983 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2401 Kossow Rd, Waukesha, WI 53186-2904 | 2006-07-24 |
| 1053345272 | Aurora Pharmacy Inc | Pharmacy | 304 Delafield St, Suite 100, Waukesha, WI 53188-3641 | 2006-07-11 |
| 1134525694 | Genoa Healthcare, LLC | Pharmacy | 514 Riverview Ave, Room 238, Waukesha, WI 53188-3631 | 2014-11-11 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.