NPIMap

Organization Active NPI

Ascension All Saints Hospital, Inc

Doing business as Ascension Rx 1101

  • Community/Retail Pharmacy
  • Mount Pleasant, WI
National Provider Identifier
1164522132
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
848642 Issued in WI
Legal business name
ASCENSION ALL SAINTS HOSPITAL, INC
Doing business as
Ascension Rx 1101
Practice address
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone
(262) 687-8430
Fax
(262) 687-8788
NPI assigned
Sep 22, 2006
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Kristopher Cyr
Title
Director
Phone
(262) 687-2151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 848642 WI Primary

Addresses

Primary practice location

3807 Spring St
Mount Pleasant, WI 53405-1667

Mailing address

3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8430

Other names 1

  • Ascension Rx 1101 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190820002492 WI Part B Supplier - Pharmacy 4880504935 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Pleasant, WI; Racine, WI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
David E Mahon MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3901 Highway 31
Caledonia, WI 53405
Phone (262) 260-3579

10117 74th St
Kenosha, WI 53142
Phone (262) 697-8268

10180 Washington Ave
Ste 107
Mount Pleasant, WI 53177
Phone (262) 687-5300

3805 Spring St
Ste A
Mount Pleasant, WI 53405
Phone (262) 687-8115

3805 Spring St
Ste B
Mount Pleasant, WI 53405
Phone (262) 687-2222

3811 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-1600

1244 Wisconsin Ave
Ste 102
Racine, WI 53403
Phone (262) 687-2150

9301 Washington Ave
Racine, WI 53406
Phone (262) 687-8611

8700 Durand Ave
Sturtevant, WI 53177
Phone (262) 687-7500

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1164522132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-8430",
            "fax_number": "262-687-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-8430",
            "fax_number": "262-687-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION ALL SAINTS HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-687-2151"
    },
    "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": "848642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Rx 1101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.