Cudahy Clinic Phcy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6574042 Issued in WI

Legal business name

CUDAHY CLINIC PHCY INC

Practice address

3533 E Ramsey Ave
Cudahy, WI 53110-3009

Phone

(414) 769-6150

Fax

(414) 769-1551

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Peter Topolovich, RPH

Title

Owner

Phone

(414) 769-6150

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• CUDAHY CLINIC SERV U PHCY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1124039771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 E RAMSEY AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 E RAMSEY AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103009",
            "telephone_number": "414-769-6150",
            "fax_number": "414-769-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUDAHY CLINIC PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "TOPOLOVICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-769-6150",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6574042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5117064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33046100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5117064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUDAHY CLINIC SERV U PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Cudahy
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• Christina C Couillard, D.D.S
• Courteous Home Health Care
• Cudahy Dental Associates, S.C.
• Cudahy Place
• Maximo L Cueto, MD
• Arnold Cwik, D.D.S.
• Alisa Damitz-Dart

• Community/Retail Pharmacy in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.