FROEDTERT HEALTH PHARMACY LLC (NPI# 1689222515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689222515 |
| Entity Type | Organization |
| Organization Name | FROEDTERT HEALTH PHARMACY LLC |
| Practice Address |
1155 N Mayfair Rd Wauwatosa WI 53226-3462 |
| Mailing Address |
N86w12999 Nightingale Way Menomonee Falls WI 53051-2102 |
| Practice Telephone | 4149553350 |
| Practice Fax Number | 2625325105 |
| Mailing Telephone | 2625325163 |
| Mailing Fax Number | 2625325105 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| 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 Pharmacy 175 | 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 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 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 |
| 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 |
1155 N MAYFAIR RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947224 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2020-06-24 |
| 1104387042 | Deanne A Walker Dupree | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-03-25 |
| 1346701273 | Spencer Klein | Student in an Organized Health Care Education/Training Program | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-03-25 |
| 1023583937 | Melissa Lynn Wojtkowski | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2018-10-06 |
| 1255839338 | Krystina L Kienast | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2018-01-24 |
| 1417471962 | Abigayle Musholt | Physician Assistant | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2017-07-26 |
| 1245775667 | Kimberly Noelle Schroeder | Occupational Therapist | 1155 N Mayfair Rd, Attn: Hand Center, Second Floor, Wauwatosa, WI 53226-3462 | 2016-12-20 |
| 1821530684 | Allison Nicole Fladten | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2016-11-10 |
| 1942678081 | Elyse Weitzman | Pharmacist | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2015-09-07 |
| 1275913733 | Alexander Henry Slocum Jr. | Surgery | 1155 N Mayfair Rd, Wauwatosa, WI 53226 | 2015-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1700934064 | Roundys Supermarkets Inc | Pharmacy | 6950 W State St, Wauwatosa, WI 53213-2842 | 2007-01-05 |
| 1477568368 | Walgreen Co | Pharmacy | 2275 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2006-07-29 |
| 1912912809 | Walgreen Co | Pharmacy | 2656 N Wauwatosa Ave, Wauwatosa, WI 53213-1137 | 2006-07-29 |
| 1083655955 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 7520 W Bluemound Rd, Wauwatosa, WI 53213-3546 | 2006-06-09 |
| 1598799710 | Aurora Pharmacy Inc | Pharmacy | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2006-07-11 |
| 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 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 1407408420 | Hayat Pharmacy 18 LLC | Pharmacy | 140 E Water St Ste 3, West Bend, WI 53095-3415 | 2019-07-10 |
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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.