JEWEL FOOD STORES INC (NPI# 1467408971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467408971 |
| Entity Type | Organization |
| Organization Name | JEWEL FOOD STORES INC |
| Other Organization Name | JEWEL OSCO |
| Practice Address |
2355 N 35th St Milwaukee WI 53210-3033 |
| Practice Telephone | 4144478117 |
| Practice Fax Number | 4144478365 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORENZO TORRES (NEW STORE ENROLLMENTS) |
| Authorized Official Telephone | 8479164463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 8057 | WI | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33254000 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5126277 | 01 |
| Other Name | Type Code |
|---|---|
| JEWEL OSCO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811088453 | Jewel Food Stores Inc | Pharmacy | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2006-09-27 |
| 1285680793 | Jewel Food Stores Inc | Pharmacy | 5740 Washington Ave, Racine, WI 53406-4018 | 2006-05-26 |
| 1376599886 | Jewel Food Stores Inc | Pharmacy | N112 W 15800 Mequon Rd, Germantown, WI 53022 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jewel Food Stores Inc. | Attn: Corp Tax - P.o. Box 20, 250 Parkcenter Boulevard, Boise, Idaho 83726 |
| North Carolina Corporations | Jewel Food Stores Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
2355 N 35TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084968 | Michael Jakubiak | Pharmacist | 2355 N 35th St, Milwaukee, WI 53210-3033 | 2020-08-18 |
| 1013314897 | Benjamin E Ezekiel | Pharmacist | 2355 N 35th St, Milwaukee, WI 53210-3033 | 2014-11-23 |
| 1982001764 | Allison E Wilke | Pharmacist | 2355 N 35th St, Milwaukee, WI 53210-3033 | 2014-11-22 |
| 1558630574 | Shweta Singh | Pharmacist | 2355 N 35th St, Milwaukee, WI 53210-3033 | 2011-12-20 |
| 1386794600 | Roundys Supermarkets Inc | Pharmacy | 2355 N 35th St, Milwaukee, WI 53210-3033 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 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 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| 1154805422 | Wellnessscriptrx | Pharmacy | 159 N Jackson St Ste 105, Milwaukee, WI 53202-6169 | 2018-09-21 |
| 1437672797 | Life Change Rx LLC | Pharmacy | 1844 S 15th St, Milwaukee, WI 53204-3225 | 2017-07-19 |
| 1265965198 | Hayat Pharmacy 10 LLC | Pharmacy | 5308 W Burleigh St, Milwaukee, WI 53210-1622 | 2017-04-07 |
| 1053766071 | Hayat Pharmacy 9 LLC | Pharmacy | 8434 W Silver Spring Dr, Milwaukee, WI 53225-2824 | 2016-04-27 |
| 1780039024 | Medpack Pharmacy | Pharmacy | 7324 W Capitol Dr, Milwaukee, WI 53216-2062 | 2016-04-24 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| Find all providers in MILWAUKEE | ||||
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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.