FROEDTERT HEALTH PHARMACY LLC (NPI# 1669020855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669020855 |
| Entity Type | Organization |
| Organization Name | FROEDTERT HEALTH PHARMACY LLC |
| Practice Address |
3200 Pleasant Valley Rd Ste 1a West Bend WI 53095-9274 |
| Mailing Address |
N86w12999 Nightingale Way Menomonee Falls WI 53051-2102 |
| Practice Telephone | 2628365411 |
| Practice Fax Number | 2625325105 |
| Mailing Telephone | 2625325163 |
| Mailing Fax Number | 2625325105 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | KEVIN PERHACH (BUSINESS MANAGER) |
| Authorized Official Telephone | 2625325163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Froedtert Pharmacy 100 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1144878075 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2019-09-04 |
| 1053969980 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2019-09-04 |
| 1992354823 | Froedtert Health Pharmacy LLC | Pharmacy | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2019-09-04 |
| 1073162905 | Froedtert Health Pharmacy LLC | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2019-09-04 |
| 1689222515 | Froedtert Health Pharmacy LLC | Pharmacy | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-09-04 |
| 1497303325 | Froedtert Health Pharmacy LLC | Pharmacy | 925 N 87th St, Milwaukee, WI 53226-4812 | 2019-09-04 |
| Street Address |
3200 PLEASANT VALLEY RD STE 1A |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578842811 | St. Joseph's Community Hospital of West Bend, Inc. | Pharmacy | 3200 Pleasant Valley Rd Ste 1a, West Bend, WI 53095-9274 | 2011-08-04 |
| 1932688850 | Mindy Eichinger | Pharmacist | 3200 Pleasant Valley Rd Ste 1a, West Bend, WI 53095-9274 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| 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 |
|---|---|---|---|---|
| 1407408420 | Hayat Pharmacy 18 LLC | Pharmacy | 140 E Water St Ste 3, West Bend, WI 53095-3415 | 2019-07-10 |
| 1700114337 | Roundys Supermarkets Inc | Pharmacy | 2518 W Washington St, West Bend, WI 53095-2106 | 2009-11-19 |
| 1871683045 | Berry Pharmacy and Wellness Services LLC | Pharmacy | 1709 S 18th Ave, West Bend, WI 53095-7808 | 2006-10-16 |
| 1093720989 | Walgreen Co | Pharmacy | 1921 S Main St, West Bend, WI 53095-5206 | 2006-07-29 |
| 1023033750 | Aurora Pharmacy Inc | Pharmacy | 2384 W Washington St, West Bend, WI 53095-2118 | 2006-07-13 |
| 1922395425 | Fhhp, LLC | Pharmacy | 1709 S 18th Ave, West Bend, WI 53095-7808 | 2011-07-05 |
| 1164456380 | Aurora Pharmacy Inc | Pharmacy | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-07-11 |
| 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 | ||||
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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.