LTC PHARMACY SERVICES, LLC (NPI# 1124665336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124665336 |
| Entity Type | Organization |
| Organization Name | LTC PHARMACY SERVICES, LLC |
| Practice Address |
11739 W Bradley Rd Milwaukee WI 53224 |
| Practice Telephone | 8882105906 |
| Practice Fax Number | 8775830109 |
| Mailing Telephone | 8882105906 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | MRS. CAROLYN MARIE SIMS (CFO/MEMBER-OWNER) |
| Authorized Official Telephone | 4096591373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Street Address |
11739 W BRADLEY RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1003198292 | Attentacare Residential Living LLC | In Home Supportive Care | 8225b North 107th Street, Milwaukee, WI 53224 | 2011-09-13 |
| 1366744278 | Sunday Kerobo | Registered Nurse | 9809 W Fountain Ave, Milwaukee, WI 53224 | 2010-11-29 |
| 1558677237 | Valorie J Roberts | Registered Nurse | 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 | 2010-08-19 |
| 1699092999 | United Extended Home Healthcare Services | Home Health | 6455 N. Fresno Streeet, Milwaukee, WI 53224 | 2010-04-26 |
| 1063742096 | Contina Monique Williams | Licensed Practical Nurse | 3949 N 70th St, Milwaukee, WI 53224 | 2010-01-14 |
| 1316171234 | Laura Ann Stern | Registered Nurse | 7005 N102nd St, Milwaukee, WI 53224 | 2009-05-06 |
| 1124276977 | Mary Deloris Wilder | Registered Nurse | 9851 W. Dean Rd, Milwaukee, WI 53224 | 2008-09-05 |
| 1346413515 | Alex B Goldman | Counselor | 11414 W Park Place Suite 202, Milwaukee, WI 53224 | 2008-04-09 |
| 1215114400 | Kemitashi Venita Austin | Licensed Practical Nurse | 7480 N 86th St. Unit D, Milwaukee, WI 53224 | 2008-01-30 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1427081009 | Pharmacy Corporation of America | Pharmacy | 9041 W. Heather Ave., Milwaukee, WI 53224 | 2006-07-08 |
| 1710286729 | Health Care for The Homeless Milwaukee Inc | Pharmacy | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2011-03-17 |
| 1497851588 | Roeschen's Healthcare LLC | Pharmacy | 5185 S 9th St, Milwaukee, WI 53221-3627 | 2006-09-15 |
| 1932213923 | Community Care Inc | Pharmacy | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646579 | Medical Health Pharmacy LLC | Pharmacy | 8845 S Greenview Dr Ste 1, Middleton, WI 53562-2562 | 2019-12-13 |
| 1568015022 | T A Solberg Co Inc | Pharmacy | 232 S Courtney St Stop 3, Rhinelander, WI 54501-3308 | 2019-07-23 |
| 1932679081 | Janesville Hometown Pharmacy LLC | Pharmacy | 21 S Jackson St Ste 100, Janesville, WI 53548-3859 | 2018-12-03 |
| 1902371107 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Rd, Green Bay, WI 54313-7124 | 2018-10-04 |
| 1962999805 | Guardian Pharmacy of Madison, LLC | Pharmacy | N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 | 2018-04-17 |
| 1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
| 1487101754 | Evergreen Pharmacy LLC | Pharmacy | 10101 W Greenfield Ave, West Allis, WI 53214-3953 | 2016-09-05 |
| 1639548142 | Lynja Inc | Pharmacy | 3215 8th St S Ste 101, Wisconsin Rapids, WI 54494-6564 | 2015-09-15 |
| 1184045106 | Healthdirect Institutional Pharmacy Services Inc | Pharmacy | 1721 Miller St, La Crosse, WI 54601-5217 | 2013-12-17 |
| 1407291917 | Galesville Ltc Pharmay LLC | Pharmacy | 16814 S Main St, Galesville, WI 54630-7704 | 2013-05-10 |
| 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.