NPIMap

Organization Active NPI

Target

  • Clinic/Center
  • New Berlin, WI
National Provider Identifier
1093183113
Registry record updated Sep 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
18024-40 Issued in WI
Legal business name
TARGET
Practice address
2228 S Sanctuary Dr
New Berlin, WI 53151-1920
Phone
(630) 272-6256
NPI assigned
Sep 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amy Mary Forssberg, PHARM.D.
Title
Pharmacist
Phone
(630) 272-6256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 18024-40 WI Primary

Addresses

Primary practice location

2228 S Sanctuary Dr
New Berlin, WI 53151-1920

Mailing address

2228 S Sanctuary Dr
New Berlin, WI 53151-1920
Phone (630) 272-6256

National Provider Directory

National Provider Directory
Tax ID family
Target33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441411200000",
    "number": "1093183113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 S SANCTUARY DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511920",
            "telephone_number": "630-272-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 S SANCTUARY DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511920",
            "telephone_number": "630-272-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A",
        "authorized_official_last_name": "FORSSBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "630-272-6256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "18024-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.