NPIMap

Organization Active NPI

The Monroe Clinic, Inc.

Doing business as SSM Health Monroe Pharmacy

  • Institutional Pharmacy
  • Monroe, WI
National Provider Identifier
1104995398
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
3771-042 Issued in WI
Legal business name
THE MONROE CLINIC, INC.
Doing business as
SSM Health Monroe Pharmacy
Practice address
515 22ND Ave
Monroe, WI 53566-1569
Phone
(608) 324-2770
Fax
(608) 324-2469
NPI assigned
Nov 6, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MONROE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jane W Curran-Meuli
Title
President
Phone
(608) 324-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 3771-042 WI Primary

Addresses

Primary practice location

515 22ND Ave
Monroe, WI 53566-1569

Mailing address

515 22ND Ave
Monroe, WI 53566-1569

Other identifiers 2

IdentifierTypeStateIssuer
3771-042OtherWIWI LICENSE
33113000MedicaidWI

Other names 2

  • SSM HEALTH MONROE PHARMACY Doing business as
  • Monroe Clinic Hospital Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Stuart a Kosikowski OD13 organizations share this tax ID, including this one
Part of
Stuart a Kosikowski OD

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104995398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2770",
            "fax_number": "608-324-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MONROE CLINIC, INC.",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "CURRAN-MEULI",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-324-2625"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WI",
            "license": "3771-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "3771-042",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33113000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM HEALTH MONROE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Clinic Hospital Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Monroe Clinic Hospital Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.