NPIMap

Organization Active NPI

Ascension Wisconsin Pharmacy, Inc

Doing business as Ascension WI Prescription Center St. Clare's Hospital

  • Community/Retail Pharmacy
  • Weston, WI
National Provider Identifier
1154812303
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9431-42 Issued in WI
Legal business name
ASCENSION WISCONSIN PHARMACY, INC
Doing business as
Ascension WI Prescription Center St. Clare's Hospital
Practice address
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone
(715) 355-9573
Fax
(715) 355-9579
NPI assigned
May 23, 2018
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION WISCONSIN PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Jonathan W Sohn
Title
Cfo
Phone
(414) 465-3090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 9431-42 WI Primary

Addresses

Primary practice location

3400 Ministry Pkwy
Weston, WI 54476-5220

Mailing address

PO Box 860011
Minneapolis, MN 55486-0011
Phone (414) 874-1035

Other identifiers 2

IdentifierTypeStateIssuer
2177608OtherPK
33112800MedicaidWI

Other names 1

  • Ascension WI Prescription Center St. Clare's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wheaton Franciscan Healthcare-Franciscan Woods26 organizations share this tax ID, including this one
Part of
Wheaton Franciscan Healthcare-Franciscan Woods

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1154812303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860011",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860011",
            "telephone_number": "414-874-1035",
            "fax_number": "414-874-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-355-9573",
            "fax_number": "715-355-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION WISCONSIN PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION WISCONSIN PHARMACY, INC",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9431-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33112800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension WI Prescription Center St. Clare's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.