CEDARBURG PRESCRIPTION CENTER INC (NPI# 1730282880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730282880 |
| Entity Type | Organization |
| Organization Name | CEDARBURG PRESCRIPTION CENTER INC |
| Other Organization Name | YE OLDE PHARMACY AND WELLNESS CENTER |
| Practice Address |
N54w6135 Mill St Ste 300 Cedarburg WI 53012-2021 |
| Practice Telephone | 2623750010 |
| Practice Fax Number | 2623750080 |
| Mailing Telephone | 2623750010 |
| Mailing Fax Number | 2623750080 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | JOHN JANKOWSKI (PHARMACY OWNER) |
| Authorized Official Telephone | 2623750010 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
7808-42 | WI | Suppliers |
| N | 333600000X | Pharmacy | 054.018973 | IL | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
22-44771 | KS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH29535 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2108915 | 01 | |
| WI | 33233800 | 05 |
| Other Name | Type Code |
|---|---|
| YE OLDE PHARMACY AND WELLNESS CENTER | Doing Business As Name - Organization |
| Street Address |
N54W6135 MILL ST STE 300 |
| City | CEDARBURG |
| State | WI |
| Zip Code | 53012-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003885914 | M Thomas Chemotti | Ophthalmology | N54w6135 Mill St, Cedarburg, WI 53012-2021 | 2006-03-14 |
| 1205451762 | Stephanie Golon | Optometrist | N54w6135 Mill St, Cedarburg, WI 53012-2021 | 2020-06-10 |
| 1629494703 | North Shore Eye Health and Wellness, Sc | Optometrist | N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 | 2014-03-12 |
| 1710231659 | Susan Elaine Miazga | Pharmacist | N54w6135 Mill St, Ste 300, Cedarburg, WI 53012-2021 | 2012-10-30 |
| 1972881134 | Kyle D Ross | Optometrist | N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 | 2011-07-21 |
| 1508938606 | Blount Orthopaedic Associates, S.c. | Orthopaedic Surgery | N54w6135 Mill St, Suite 200, Cedarburg, WI 53012-2021 | 2006-11-14 |
| 1447345509 | Daniel C Garcia Dds LLC | Dentist | N54w6135 Mill St, Suite 900, Cedarburg, WI 53012-2021 | 2006-10-04 |
| 1689789075 | John Richard Jankowski | Pharmacist | N54w6135 Mill St, Suite 300, Cedarburg, WI 53012-2021 | 2006-08-19 |
| 1811951627 | Dva Renal Healthcare Inc | Clinic/Center | N54w6135 Mill St, Cedarburg, WI 53012-2021 | 2006-04-17 |
| 1053370809 | Salvador V. Del Rosario,m.d., S.c. | Internal Medicine | N54w6135 Mill St, Suite 600, Cedarburg, WI 53012-2021 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565351 | Angela Marie Phillips | Counselor | 8750 Western Rd, Cedarburg, WI 53012 | 2015-04-09 |
| 1922403641 | Nickolas Wimble | Hearing Instrument Specialist | W62n244 Washinton St, #104, Cedarburg, WI 53012 | 2014-10-23 |
| 1285902429 | Mary B Pistiner | Pharmacist | W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 | 2011-12-02 |
| 1285931360 | Accuquest Hearing Centers | Clinic/Center | N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 | 2011-02-25 |
| 1417283532 | Laura Egan Cutler | Speech-Language Pathologist | N87 W6334 Brookdale Dr, Cedarburg, WI 53012 | 2009-10-23 |
| 1790945053 | Diane M Kerkman | Licensed Practical Nurse | W63 N14264 Washington Ave #13, Cedarburg, WI 53012 | 2008-06-11 |
| 1346416856 | Robert H Schwengel | Dentist | W62n179 Washington Ave, Cedarburg, WI 53012 | 2008-05-05 |
| 1174710479 | Assisted Living Concepts Inc | Assisted Living Facility | W56 N225 Mckinley Blvd, Cedarburg, WI 53012 | 2007-10-01 |
| 1699968016 | Jay Timothy Brogelman | Occupational Therapy Assistant | N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 | 2007-08-20 |
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| Find all providers in zip 53012 | ||||
| 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 |
|---|---|---|---|---|
| 1528009495 | Wisconsin Cvs Pharmacy LLC | Pharmacy | W63n152 Washington Ave, Cedarburg, WI 53012-2725 | 2006-06-09 |
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|---|---|---|---|---|
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| 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.