Port Family Pharmacy, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PORT FAMILY PHARMACY, INC.

Practice address

1021 N Wisconsin St
Port Washington, WI 53074-1207

Phone

(262) 261-3900

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Michael Vineburg

Title

Owner

Phone

(262) 261-3900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1124718630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N WISCONSIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741207",
            "telephone_number": "262-261-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N WISCONSIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741207",
            "telephone_number": "262-261-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "VINEBURG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-261-3900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lu Pinke
• Susan Pokorny, CERTIFIED DOULA
• Nicole S Pook, LPN
• Port Chiropractic Inc.
• Port Dental Group SC
• Port Family Pharmacy, Inc.
• Port Washington Podiatry Inc
• Port Washington Saukville School District
• Portwashingtonctd1 LLC
• Neal Z. Potash, MS

• Long Term Care Pharmacy in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.