ASCENSION WISCONSIN PHARMACY, INC. (NPI# 1427517408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427517408 |
| Entity Type | Organization |
| Organization Name | ASCENSION WISCONSIN PHARMACY, INC. |
| Other Organization Name | ASCENSION RX 503 |
| Practice Address |
9252 N Green Bay Rd Brown Deer WI 53209-1104 |
| Mailing Address |
5000 W Chambers St Rm 5223 Milwaukee WI 53210-1650 |
| Practice Telephone | 4148741035 |
| Practice Fax Number | 4148741099 |
| Mailing Telephone | 4148741035 |
| Mailing Fax Number | 4148741099 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2020-10-12 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Ascension Rx 503 | Doing Business As Name - Organization |
| Ascension Wisconsin Prescription Center #503 | 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 |
| 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 |
| 1053587055 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 10101 S 27th St, Room 1005, Franklin, WI 53132-7209 | 2008-04-30 |
| Street Address |
9252 N GREEN BAY RD |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53209-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470134 | Soliven C Bautista | Physical Medicine & Rehabilitation | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2005-07-08 |
| 1023644531 | Matthew Michael | Physical Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2020-03-16 |
| 1679031629 | Allie Knaus | Physical Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2019-03-08 |
| 1700356557 | Emily M Samuel | Physician Assistant | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2018-12-04 |
| 1225514656 | Lori Komisar | Registered Nurse | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2018-07-18 |
| 1891240610 | Nate Sullivan | Nurse Practitioner | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2016-08-22 |
| 1366849952 | Cesar Sison | Occupational Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2014-11-25 |
| 1518360882 | Amy Prout | Dietitian, Registered | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2014-10-01 |
| 1255512141 | Marina L. Kropp | Physical Medicine & Rehabilitation | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2007-11-19 |
| 1447320510 | Shannon Sarah Muderlak | Family Medicine | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| 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 |
|---|---|---|---|---|
| 1023280567 | Roundys Supermarkets Inc | Pharmacy | 9200 N Greenbay Road, Brown Deer, WI 53206 | 2008-03-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53209 |
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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.