NPIMap

Organization Active NPI

Ascension Wisconsin Pharmacy, Inc.

Doing business as Ascension Wisconsin Pharmacy #502

  • Community/Retail Pharmacy
  • Mequon, WI
National Provider Identifier
1154894483
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ASCENSION WISCONSIN PHARMACY, INC.
Doing business as
Ascension Wisconsin Pharmacy #502
Practice address
13133 N Port Washington Rd Ste G101
Mequon, WI 53097-2419
Phone
(262) 243-6700
Fax
(262) 243-6701
NPI assigned
Jan 9, 2019
Last updated
Mar 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION WISCONSIN PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Tracy Ann Rogers
Title
Coo
Phone
(414) 465-3706

Specialties & licenses 1

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

Addresses

Primary practice location

13133 N Port Washington Rd Ste G101
Mequon, WI 53097-2419

Mailing address

5000 W Chambers St RM 115
Milwaukee, WI 53210-1650
Phone (414) 874-1035

Other names 1

  • Ascension Wisconsin Pharmacy #502 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

Locations

13133 N Port Washington Rd
Ste G101
Mequon, WI 53097
Phone (262) 243-6700

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1154894483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W CHAMBERS ST RM 115",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101650",
            "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": "13133 N PORT WASHINGTON RD STE G101",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972419",
            "telephone_number": "262-243-6700",
            "fax_number": "262-243-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION WISCONSIN PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION WISCONSIN PHARMACY, INC.",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-465-3706"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Wisconsin Pharmacy #502",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Wisconsin Pharmacy #502",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.