Active NPI
Hotel Pharmacy
- Community/Retail Pharmacy
- Milwaukee, WI
National Provider Identifier
1194854422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6551
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5107708 | Other | WI | NATIONAL PHARMQCY # |
| 33141100 | Medicaid | WI |
Other names 1
- Brady Street Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.