Compounding Center of Wisconsin, Inc.

Primary specialty

Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X

Legal business name

COMPOUNDING CENTER OF WISCONSIN, INC.

Practice address

5710 4TH Ave
Kenosha, WI 53140-4200

Phone

(262) 476-4644

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keya Patel

Title

Owner

Phone

(224) 717-9482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1164335055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 4TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 4TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404200",
            "telephone_number": "262-476-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING CENTER OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-717-9482"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cmap, SC
• Emily Jane Collins, R.D.
• Jill Colontuono, NNP-BC, PNCB
• Callie Colwell, RN
• Comfort Care Home Health
• Comprehensive Orthopaedics SC (Comprehensive Orthopaedics Advanced Imaging and Rehab Center)
• Comprehensive Orthopaedics SC
• Debra Jean Conforti, L.P.N.
• Lisa Marie Conklyn, MS, CCC-SLP
• Susan Marie Conlon, PTA

• Pharmacist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.