ASCENSION WISCONSIN PHARMACY, INC (NPI# 1154812303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154812303 |
| Entity Type | Organization |
| Organization Name | ASCENSION WISCONSIN PHARMACY, INC |
| Other Organization Name | ASCENSION WI PRESCRIPTION CENTER ST. CLARE'S HOSPITAL |
| Practice Address |
3400 Ministry Pkwy Weston WI 54476-5220 |
| Mailing Address |
Po Box 860011 Minneapolis MN 55486-0011 |
| Practice Telephone | 7153559573 |
| Practice Fax Number | 7153559579 |
| Mailing Telephone | 4148741035 |
| Mailing Fax Number | 4148741099 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653090 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASCENSION WISCONSIN PHARMACY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9431-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177608 | 01 | |
| WI | 33112800 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension WI Prescription Center St. Clare's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1659362101 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2005-11-03 |
| 1104305085 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2018-08-10 |
| 1619453990 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 1506 S Oneida St, Appleton, WI 54915-1305 | 2018-07-19 |
| 1306042411 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 13133 N Port Washington Rd, Suite G01, Mequon, WI 53097-2419 | 2007-06-25 |
| 1356336002 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 1901 Westwood Center Blvd, Wausau, WI 54401-2892 | 2005-09-19 |
| Street Address |
3400 MINISTRY PKWY |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730175480 | Nicolaus Adolf Schermer | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2005-09-27 |
| 1952908808 | Marshfield Clinic, Inc. | Non-Pharmacy Dispensing Site | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-10-05 |
| 1801407630 | Mchs Hospitals, Inc. | Durable Medical Equipment & Medical Supplies | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-08-14 |
| 1902437650 | Mchs Hospitals, Inc. | General Acute Care Hospital | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-01-31 |
| 1326691254 | Jackie Marie Rietz | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-07-19 |
| 1295299394 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-01-23 |
| 1124503677 | Daniel Carl Peterson | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-10-01 |
| 1730669763 | Becky Schmidt | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-08-20 |
| 1235645193 | Erin Taylor | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-12-14 |
| 1124544184 | James E Conner | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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] |
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| 1871690610 | Best Care Pharmacy Inc | Pharmacy | 4 Garton Plz, Weston, WV 26452-2129 | 2006-09-20 |
| 1588768402 | Holiday Cvs LLC | Pharmacy | 1120 Weston Rd, Weston, FL 33326-1915 | 2006-09-12 |
| 1679677538 | Holiday Cvs LLC | Pharmacy | 324 Indian Trce, Weston, FL 33326-2996 | 2006-09-12 |
| 1609984921 | Weston Pharmacy LLC | Pharmacy | 190 Weston Rd, Weston, CT 06883-2126 | 2006-08-27 |
| 1043267933 | Walgreen Co | Pharmacy | 5305 Business Highway 51 S, Weston, WI 54476-1324 | 2006-05-27 |
| 1295299394 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-01-23 |
| 1407038904 | Langs Pharmacy of Weston LLC | Pharmacy | 190 Weston Rd, Weston, CT 06883-2126 | 2007-11-27 |
| 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 |
| 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 |
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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.