Active NPI
Michael Sean Stiewe, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1003694894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22404-40
- Practice address
- 3237 S 16TH St
Milwaukee, WI 53215-4526 - Phone
- (414) 647-5043
- NPI assigned
- Sep 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22404-40 | WI | Primary |
Addresses
Primary practice location
3237 S 16TH St
Milwaukee, WI 53215-4526
Mailing address
715 Willow Bend Dr
Waterford, WI 53185-4281
Other practice location 1
680 Milwaukee Ave
Burlington, WI 53105-1346
Phone (262) 767-0697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22404-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1003694894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 WILLOW BEND DR",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531854281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154526",
"telephone_number": "414-647-5043"
}
],
"practiceLocations": [
{
"address_1": "680 Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "WI",
"postal_code": "531051346",
"country_code": "US",
"telephone_number": "262-767-0697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIEWE",
"first_name": "MICHAEL",
"middle_name": "SEAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22404-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.