COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC (NPI# 1811416639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811416639 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC |
| Other Organization Name | F & MCW DREXEL TOWN SQUARE PHARMACY |
| Practice Address |
7901 S 6th St Oak Creek WI 53154-2010 |
| Mailing Address |
N86w12999 Nightingale Way Menomonee Falls WI 53051-2102 |
| Practice Telephone | 4143468050 |
| Practice Fax Number | 2625325105 |
| Mailing Telephone | 2625325163 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2018-07-19 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9462-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2171439 | 01 | |
| WI | 1811416639 | 05 |
| Other Name | Type Code |
|---|---|
| F & MCW Drexel Town Square Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730627894 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2017-02-08 |
| 1063874824 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | 4805 S Moorland Rd Rm G0502a, New Berlin, WI 53151-7401 | 2016-03-22 |
| 1437105624 | Community Memorial Hospital of Menomonee Falls Inc | Psychiatric Unit | W180 N 8085 Town Hall Rd, Menomonee Falls, WI 53052 | 2006-05-26 |
| 1326086570 | Community Memorial Hospital of Menomonee Falls Inc | Rehabilitation Unit | W180 N8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2006-06-02 |
| 1609822881 | Community Memorial Hospital of Menomonee Falls Inc | General Acute Care Hospital | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2006-05-26 |
| Street Address |
7901 S 6TH ST |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091446 | Jeffrey Mark Baranek | Physician Assistant | 7901 S 6th St, Oak Creek, WI 53154 | 2005-08-30 |
| 1497395313 | Nicholas Davey | Nurse Practitioner | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2020-01-08 |
| 1194373399 | Froedtert Health Pharmacy LLC | Pharmacy | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-08-30 |
| 1750841482 | Johanna Louise Gross | Nurse Practitioner | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-03-20 |
| 1235696907 | Sara Hasan | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-02-28 |
| 1578035341 | Kimberly Marie Anas | Occupational Therapist | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2018-12-18 |
| 1245722792 | Melissa Dechiara | Physical Therapist | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2018-05-31 |
| 1073932349 | Jessica Lynn Woznick | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2014-04-15 |
| 1790103497 | Tai Tan Nguyen | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2014-04-01 |
| 1093073736 | Aaron Staley | Obstetrics & Gynecology | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| 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 |
|---|---|---|---|---|
| 1063437796 | Aurora Pharmacy Inc | Pharmacy | 8770 S Howell Ave, Suite 3, Oak Creek, WI 53154-7524 | 2006-07-13 |
| 1992739114 | Aurora Pharmacy Inc | Pharmacy | 6462 S. 27th St., Oak Creek, WI 53154-1015 | 2006-07-11 |
| 1508194135 | Roundys Supermarkets Inc | Pharmacy | 8770 S Howell Ave, Oak Creek, WI 53154-7524 | 2009-11-19 |
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|---|---|---|---|---|
| 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.