ASCENSION WISCONSIN PHARMACY, INC (NPI# 1659362101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659362101 |
| Entity Type | Organization |
| Organization Name | ASCENSION WISCONSIN PHARMACY, INC |
| Other Organization Name | ASCENSION RX 501 |
| Practice Address |
2301 N Lake Dr Milwaukee WI 53211-4508 |
| Mailing Address |
5000 W Chambers St Rm 5223 Milwaukee WI 53210-1650 |
| Practice Telephone | 4145851303 |
| Practice Fax Number | 4145852809 |
| Mailing Telephone | 4148741035 |
| Mailing Fax Number | 4148741099 |
| Enumeration Date | 2005-11-03 |
| 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 501 | Doing Business As Name - Organization |
| Ascension Wisconsin Pharmacy #501 | Doing Business As Name - Organization |
| Seton Pharmacy | 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 |
| 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 |
| 1154812303 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-05-23 |
| 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 |
2301 N LAKE DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023521 | Elizabeth Jaruseski | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-10 |
| 1649880808 | Margaret Anne Germanotta | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1508476870 | Kristin Rebecca Kuester | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1104440882 | Megan Nicole Zainer | Student in an Organized Health Care Education/Training Program | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-29 |
| 1366078404 | Lauren C Johnson | Occupational Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-03-20 |
| 1093340986 | Ihc-observation Care LLC | Emergency Medicine | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-03-11 |
| 1992338446 | Ashley Kenney | Physician Assistant | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-02-12 |
| 1457982985 | Ava Engberg | Physical Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-02-03 |
| 1295376937 | Kimberly Anne Tuggle | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-10-03 |
| 1164063996 | Jessica Esteves | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 1952965576 | Life Change Rx 1 LLC | Pharmacy | 813 S Layton Blvd, Milwaukee, WI 53215-1225 | 2019-04-29 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1366814980 | Hayat Pharmacy 7, LLC. | Pharmacy | 5312 W Villard Ave, Milwaukee, WI 53218-4345 | 2015-10-22 |
| 1689015521 | Roundys Supermarkets Inc | Pharmacy | 875 E Wisconsin Ave, Milwaukee, WI 53202-5404 | 2013-07-08 |
| 1679835326 | 13th Street Pharmacy LLC | Pharmacy | 1320 W Burnham St, Milwaukee, WI 53204-3248 | 2012-06-08 |
| Find all providers in MILWAUKEE | ||||
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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.