MORELAND PLAZA PHARMACY, INC (NPI# 1831202399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831202399 |
| Entity Type | Organization |
| Organization Name | MORELAND PLAZA PHARMACY, INC |
| Practice Address |
1111 Delafield St Suite 109 Waukesha WI 53188-3417 |
| Mailing Address |
827 W Moreland Blvd Waukesha WI 53188-2963 |
| Practice Telephone | 2625445303 |
| Mailing Telephone | 2625424488 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | MR. SCOTT HOFF (OWNER) |
| Authorized Official Telephone | 2625445303 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
7546-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33212100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619071628 | Moreland Plaza Pharmacy, Inc | Pharmacy | 827 W Moreland Blvd, Waukesha, WI 53188-2963 | 2006-09-11 |
| 1821584343 | Moreland Plaza Pharmacy, Inc | Pharmacy | 827 W Moreland Blvd, Waukesha, WI 53188-2963 | 2018-07-09 |
| Street Address |
1111 DELAFIELD ST SUITE 109 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240959 | W. Patrick Flanagan Jr. | Urology | 1111 Delafield St, Suite 12, Waukesha, WI 53188-3417 | 2005-07-26 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1467975383 | Deanne Evelyn Dunder | Nurse Practitioner | 1111 Delafield St, Waukesha, WI 53188-3417 | 2017-07-23 |
| 1255868006 | Ryan J Moncada | Physician Assistant | 1111 Delafield St, Suite 207, Waukesha, WI 53188-3417 | 2017-05-11 |
| 1235672239 | Paul B Doenier Md, Sc | Family Medicine | 1111 Delafield St, Suite 321, Waukesha, WI 53188-3417 | 2016-11-22 |
| 1013395078 | Alyssa Kathryn Eisner | Physician Assistant | 1111 Delafield St, Suite 209, Waukesha, WI 53188-3403 | 2015-05-11 |
| 1679950513 | Holly Beth Maciejewski | Nurse Practitioner | 1111 Delafield St, 215, Waukesha, WI 53188-3417 | 2015-04-29 |
| 1184022360 | Moreland Medical Laboratory, LLC | Clinical Medical Laboratory | 1111 Delafield St, Suite 301, Waukesha, WI 53188-3417 | 2014-12-20 |
| 1710395959 | Orthopedic Associates of Wisconsin | Clinic/Center | 1111 Delafield St, Waukesha, WI 53188-3417 | 2014-07-31 |
| 1053729046 | Debra Seiler | Nurse Practitioner | 1111 Delafield St, Suite 215, Waukesha, WI 53188-3417 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1386982957 | Waukesha Health System Inc | Pharmacy | N16w24131 Riverwood Dr Ste 1121, Waukesha, WI 53188-1106 | 2013-01-16 |
| 1114152683 | Roundys Supermarkets Inc | Pharmacy | 1220 W Sunset Dr, Waukesha, WI 53189-8423 | 2009-05-27 |
| 1265580526 | Roundys Supermarkets Inc | Pharmacy | 220 E Sunset Dr, Waukesha, WI 53189-7602 | 2007-01-05 |
| 1619071628 | Moreland Plaza Pharmacy, Inc | Pharmacy | 827 W Moreland Blvd, Waukesha, WI 53188-2963 | 2006-09-11 |
| 1891702775 | Walgreen Co | Pharmacy | 230 Madison St, Waukesha, WI 53188-5148 | 2006-08-02 |
| 1417964305 | Walgreen Co | Pharmacy | 2700 N Grandview Blvd, Waukesha, WI 53188-1611 | 2006-08-02 |
| 1538174602 | Walgreen Co | Pharmacy | 601 Meadowbrook Rd, Waukesha, WI 53188-7312 | 2006-07-29 |
| 1285656983 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2401 Kossow Rd, Waukesha, WI 53186-2904 | 2006-07-24 |
| 1053345272 | Aurora Pharmacy Inc | Pharmacy | 304 Delafield St, Suite 100, Waukesha, WI 53188-3641 | 2006-07-11 |
| 1134525694 | Genoa Healthcare, LLC | Pharmacy | 514 Riverview Ave, Room 238, Waukesha, WI 53188-3631 | 2014-11-11 |
| Find all providers in WAUKESHA | ||||
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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.