FROEDTERT HEALTH PHARMACY LLC (NPI# 1134777337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134777337 |
| Entity Type | Organization |
| Organization Name | FROEDTERT HEALTH PHARMACY LLC |
| Other Organization Name | FROEDTERT RDS 300 |
| Practice Address |
11430 N Port Washington Rd Ste 103 Mequon WI 53092-3414 |
| Mailing Address |
N86w12999 Nightingale Way Menomonee Falls WI 53051-2102 |
| Practice Telephone | 2625181899 |
| Practice Fax Number | 2625325105 |
| Mailing Telephone | 2625325163 |
| Mailing Fax Number | 2625325105 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | KEVIN PERHACH (BUSINESS MANAGER) |
| Authorized Official Telephone | 2625325163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Froedtert RDS 300 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1144878075 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2019-09-04 |
| 1053969980 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2019-09-04 |
| 1992354823 | Froedtert Health Pharmacy LLC | Pharmacy | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2019-09-04 |
| 1073162905 | Froedtert Health Pharmacy LLC | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2019-09-04 |
| 1689222515 | Froedtert Health Pharmacy LLC | Pharmacy | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-09-04 |
| 1497303325 | Froedtert Health Pharmacy LLC | Pharmacy | 925 N 87th St, Milwaukee, WI 53226-4812 | 2019-09-04 |
| 1669020590 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-09-04 |
| Street Address |
11430 N PORT WASHINGTON RD STE 103 |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1154894483 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 13133 N Port Washington Rd Ste G101, Mequon, WI 53097-2419 | 2019-01-09 |
| 1538609292 | Mequon Family Pharmacy Inc | Pharmacy | 1424 W Mequon Rd, Mequon, WI 53092-3226 | 2017-02-28 |
| 1518262922 | Roundys Supermarkets Inc | Pharmacy | 11558 N Port Washington Rd, Mequon, WI 53092-3416 | 2011-01-14 |
| 1275056723 | Froedtert Memorial Lutheran Hospital, Inc. | Pharmacy | 11430 N Port Washington Rd, Suite 103, Mequon, WI 53092-3454 | 2017-07-17 |
| 1306042411 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 13133 N Port Washington Rd, Suite G01, Mequon, WI 53097-2419 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FROEDTERT HEALTH PHARMACY LLC.
| 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.