BROOKFIELD PRESCRIPTION CENTER INC (NPI# 1912154774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912154774 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD PRESCRIPTION CENTER INC |
| Other Organization Name | MD CUSTOM RX |
| Practice Address |
19035 W Capitol Dr Brookfield WI 53045-2755 |
| Mailing Address |
19035 W Capitol Dr Ste 102 Brookfield WI 53045-2755 |
| Practice Telephone | 2623731050 |
| Practice Fax Number | 2623731053 |
| Mailing Telephone | 2623731050 |
| Mailing Fax Number | 2623731053 |
| Enumeration Date | 2008-08-24 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MONICA ZATARSKI (PRESIDENT) |
| Authorized Official Telephone | 2623731050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 5301010339 | MI | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8844-42 | WI | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
263654 | MN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054017646 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2116685 | 01 |
| Other Name | Type Code |
|---|---|
| MD Custom Rx | Doing Business As Name - Organization |
| Street Address |
19035 W CAPITOL DR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-2755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336671 | Jason Lee Varner | Optometrist | 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045-2706 | 2005-09-13 |
| 1740657246 | Physiotherapy Associates Inc | Clinic/Center | 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045-2755 | 2015-09-01 |
| 1962756270 | Advanced Foot & Ankle of Wisconsin LLC | Durable Medical Equipment & Medical Supplies | 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045-2755 | 2012-11-08 |
| 1578853990 | Hwpt | Clinic/Center | 19035 W Capitol Dr, Suite 100, Brookfield, WI 53045-2755 | 2011-04-19 |
| 1215169073 | Milwaukee Clinic of Ortho Surgery Ltd | Podiatrist | 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045-2755 | 2009-08-12 |
| 1093990855 | Brookfield Vision Center, S.c. | Optometrist | 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045-2755 | 2007-12-29 |
| 1376689414 | Dcdo, Inc. | Clinic/Center | 19035 W Capitol Dr, Suite 100, Brookfield, WI 53045-2755 | 2007-01-29 |
| 1548326135 | Donald Paul Hundt | Chiropractor | 19035 W Capitol Dr, Brookfield, WI 53045-2755 | 2006-12-28 |
| 1225145840 | Barbara A Horner-ibler | Internal Medicine | 19035 W Capitol Dr, #101, Brookfield, WI 53045-2755 | 2006-08-23 |
| 1194782045 | Saly Thi Tran | Optometrist | 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045-2706 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| 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 |
|---|---|---|---|---|
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1437520335 | Rite Aid | Pharmacy | 6 Nicoles Ct, Brookfield, CT 06804-1246 | 2015-10-18 |
| 1558507459 | Giant Eagle, Inc | Pharmacy | 7229 Sharon-warren Road, Giant Eagle Pharmacy #1435, Brookfield, OH 44403 | 2008-12-23 |
| 1558471169 | Costco Wholesale Corporation | Pharmacy | 200 Federal Rd, Brookfield, CT 06804 | 2006-08-30 |
| 1275540155 | Walgreen Co | Pharmacy | 15738 W Capitol Dr, Brookfield, WI 53005-2201 | 2006-08-02 |
| 1154336063 | The Tamarkin Company | Pharmacy | 7229 Warren Sharon Rd, Brookfield, OH 44403 | 2006-07-29 |
| 1841215571 | Aurora Pharmacy Inc | Pharmacy | 13935 W Capitol Dr, Brookfield, WI 53005-2496 | 2006-07-13 |
| 1902821630 | Aurora Pharmacy Inc | Pharmacy | 16985 W Bluemound Rd Ste 100, Brookfield, WI 53005-5909 | 2006-07-13 |
| 1184658304 | Aurora Pharmacy Inc | Pharmacy | 12735 W Capitol Dr, Brookfield, WI 53005-2442 | 2006-07-11 |
| 1316988280 | Highland Park Cvs LLC | Pharmacy | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2006-06-09 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on BROOKFIELD PRESCRIPTION CENTER INC.
| 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.