ASCENSION WISCONSIN PHARMACY, INC. (NPI# 1114994209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114994209 |
Entity Type | Organization |
Organization Name | ASCENSION WISCONSIN PHARMACY, INC. |
Other Organization Name | ASCENSION RX 6846 |
Practice Address |
19333 W North Ave Suite 390 Brookfield WI 53045-4132 |
Mailing Address |
Po Box 860011 Minneapolis MN 55486-0011 |
Practice Telephone | 2627804430 |
Practice Fax Number | 2627804440 |
Mailing Telephone | 2627804430 |
Mailing Fax Number | 2627804440 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2020-10-14 |
Authorized Official Name | JONATHAN W SOHN (CFO) |
Authorized Official Telephone | 4144653090 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
846242 | WI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2110236 | 01 | |
WI | 33280000 | 05 |
Other Name | Type Code |
---|---|
Ascension Rx 6846 | Doing Business As Name - Organization |
Ascension Wisconsin Pharmacy #6846 | Doing Business As Name - Organization |
WHEATON FRANCISCAN PHARMACY #6846 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154894483 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 13133 N Port Washington Rd Ste G101, Mequon, WI 53097-2419 | 2019-01-09 |
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 |
Street Address |
19333 W NORTH AVE SUITE 390 |
City | BROOKFIELD |
State | WI |
Zip Code | 53045-4132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255314076 | John K Hur | Anesthesiology | 19333 W North Ave, Brookfield, WI 53045-4132 | 2005-11-25 |
1467063008 | Shelly Schneider Parker | Registered Nurse | 19333 W North Ave, Brookfield, WI 53045-4132 | 2020-08-16 |
1083224661 | Deborah Moraza | Registered Nurse | 19333 W North Ave, Brookfield, WI 53045-4132 | 2020-08-07 |
1659905727 | Bobbie-jo Marie King | Pharmacist | 19333 W North Ave, Brookfield, WI 53045-4198 | 2020-02-27 |
1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
1801350632 | Anne M Hollandsworth | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-25 |
1245704477 | Dana J Wilson | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-22 |
1043788870 | Thomas M Nigro Jr. | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-11-09 |
1356819619 | Freda Lynn Erdman | Clinical Nurse Specialist | 19333 W North Ave, Brookfield, WI 53045 | 2018-11-05 |
1891285474 | Uche Dike | Pharmacist | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-05-18 |
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 |
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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.