Organization Active NPI

Pill Boxx LLC

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1104578145
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PILL BOXX LLC
Practice address
3074 S 13TH St
Milwaukee, WI 53215-3873
Phone
(414) 250-0068
Fax
(414) 250-0069
NPI assigned
Jan 20, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Najah A
Title
Authorized Official
Phone
(414) 250-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3074 S 13TH St
Milwaukee, WI 53215-3873

Mailing address

3074 S 13TH St
Milwaukee, WI 53215-3873
Phone (414) 250-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220715000035 WI Part B Supplier - Pharmacy 7416338942 Practice locations: Milwaukee, WI
O20220907000136 WI Part B Supplier - Mass Immunization (Roster Biller Only) 7416338942 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

3074 S 13th St
Milwaukee, WI 53215
Phone (414) 250-0068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1104578145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153873",
            "telephone_number": "414-250-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153873",
            "telephone_number": "414-250-0068",
            "fax_number": "414-250-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL BOXX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "A",
        "authorized_official_first_name": "NAJAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "414-250-0068"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.