13TH STREET PHARMACY LLC


Address: 1320 W Burnham St, Milwaukee, WI 53204-3248
Phone: 4143834111

13TH STREET PHARMACY LLC (NPI# 1679835326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679835326
Entity Type Organization
Organization Name 13TH STREET PHARMACY LLC
Other Organization Name 13TH STREET PHARMACY LLC
Practice Address 1320 W Burnham St
Milwaukee
WI 53204-3248
Practice Telephone 4143834111
Practice Fax Number 4143832248
Mailing Telephone 4143834111
Mailing Fax Number 4143832248
Enumeration Date 2012-06-08
Last Update Date 2014-12-03
Authorized Official Name RUSSEL SHTIVELBERG (MEMBER)
Authorized Official Telephone 4143249393
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
9131-42 WI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2135508 01
WI 100023902 05

Other Provider/Organization Names

Other Name Type Code
13th Street Pharmacy LLC Doing Business As Name - Organization

Office Location

Street Address 1320 W BURNHAM ST
City MILWAUKEE
State WI
Zip Code 53204-3248

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851720718 Eli Avrahami Pharmacist 1320 W Burnham St, Milwaukee, WI 53204-3248 2013-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528423290 Blue Ribbon Healthcare LLC Health Maintenance Organization 1743 South1st Street, Milwaukee, WI 53204 2015-12-23
1215336599 Marsha Vann Counselor 1028 N 9th St, Milwaukee, WI 53204 2014-08-22
1891109260 Melissa Bendever Counselor 1111 South 6th Street, Milwaukee, WI 53204 2014-06-13
1942585823 Theresa Marie Hintze Counselor 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 2011-10-11
1922395151 Palmas & Ram Rudra LLC Chiropractor 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 2011-07-08
1225355183 Victoria A White Family Medicine 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 2010-04-30
1174850499 Dnt Associates Inc. Dentist 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 2009-11-06
1851559124 Michael L Kitzinger Social Worker 1201 W Historic Mitchell St, Milwaukee, WI 53204 2008-05-23
1083778781 Douglas Ralph Higbie Psychologist 634 W Mitchell St, Milwaukee, WI 53204 2006-12-20
1013019413 Romeo C Lo Md Internal Medicine 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 2006-09-05
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1962641514 Roundys Supermarkets Inc Pharmacy 7401 W Good Hope Rd, Milwaukee, WI 53223-4618 2009-02-05
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Competitor

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City MILWAUKEE
Zip Code 53204

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Dataset Information

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.

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