Organization Active NPI

Hotel Pharmacy

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1194854422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6551 Issued in WI
Legal business name
HOTEL PHARMACY
Practice address
1696 N Astor St
Milwaukee, WI 53202-2164
Phone
(414) 272-4384
Fax
(414) 278-8724
NPI assigned
Mar 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James L Searles, R.PH.
Title
President
Phone
(414) 272-4384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6551 WI Primary

Addresses

Primary practice location

1696 N Astor St
Milwaukee, WI 53202-2164

Mailing address

1696 N Astor St
Milwaukee, WI 53202-2164
Phone (414) 272-4384

Other identifiers 2

IdentifierTypeStateIssuer
5107708OtherWINATIONAL PHARMQCY #
33141100MedicaidWI

Other names 1

  • Brady Street Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

1696 N Astor St
Milwaukee, WI 53202
Phone (414) 272-4384

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194854422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 N ASTOR ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022164",
            "telephone_number": "414-272-4384",
            "fax_number": "414-278-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 N ASTOR ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022164",
            "telephone_number": "414-272-4384",
            "fax_number": "414-278-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEARLES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-272-4384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PHARMQCY #",
            "identifier": "5107708",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33141100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brady Street Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.