Providence Pharmacy & Wellness

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PROVIDENCE PHARMACY & WELLNESS

Practice address

2500 W Silver Spring Dr
Glendale, WI 53209-4218

Phone

(414) 400-0104

Fax

(414) 400-0107

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rostian N Akpor-Mensah, PHARMDNPI 1194359497

Title

Managing Pharmacist

Phone

(414) 305-7131

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rostian Akpor-Mensah, PHARMD.

  • Pharmacist
  • Milwaukee, WI
  • NPI 1194359497
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1245080860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 E MENLO BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112249",
            "telephone_number": "610-841-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094218",
            "telephone_number": "414-400-0104",
            "fax_number": "414-400-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PHARMACY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "AKPOR-MENSAH",
        "authorized_official_first_name": "ROSTIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PHARMACIST",
        "authorized_official_telephone_number": "414-305-7131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• R.E.a.C.H. Inc. Comprehensive Mental Health Clinic

• Pharmacy in Glendale, WI
• Providers in Glendale, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.