ASCENSION WISCONSIN PHARMACY, INC. (NPI# 1154894483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154894483 |
| Entity Type | Organization |
| Organization Name | ASCENSION WISCONSIN PHARMACY, INC. |
| Other Organization Name | ASCENSION WISCONSIN PHARMACY #502 |
| Practice Address |
13133 N Port Washington Rd Ste G101 Mequon WI 53097-2419 |
| Mailing Address |
5000 W Chambers St Rm 115 Milwaukee WI 53210-1650 |
| Practice Telephone | 2622436700 |
| Practice Fax Number | 2622436701 |
| Mailing Telephone | 4148741035 |
| Mailing Fax Number | 4148741099 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | TRACY ANN ROGERS (COO) |
| Authorized Official Telephone | 4144653706 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASCENSION WISCONSIN PHARMACY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Ascension Wisconsin Pharmacy #502 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984194 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 7400 W Rawson Ave Ste 140, Franklin, WI 53132-8281 | 2006-03-07 |
| 1427517408 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2019-03-18 |
| 1184182388 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2019-03-06 |
| 1255895470 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-01-23 |
| 1295299394 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-01-23 |
| 1679046908 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2019-01-09 |
| 1700359031 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-01-09 |
| 1386115202 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2018-12-17 |
| 1477024479 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2018-12-17 |
| 1053587055 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 10101 S 27th St, Room 1005, Franklin, WI 53132-7209 | 2008-04-30 |
| Street Address |
13133 N PORT WASHINGTON RD STE G101 |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.