NPIMap

Organization Active NPI

Quad/Med, LLC

Doing business as Quad/Med Pharmacy

  • Clinic Pharmacy
  • West Allis, WI
National Provider Identifier
1255439907
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
QUAD/MED, LLC
Doing business as
Quad/Med Pharmacy
Practice address
555 S 108TH St
West Allis, WI 53214-1100
Phone
(414) 566-3070
Fax
(414) 566-3851
NPI assigned
Sep 20, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Robert L Poulsen
Title
Cfo
Phone
(414) 566-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

555 S 108TH St
West Allis, WI 53214-1100

Mailing address

W227N6103 Sussex Rd
Sussex, WI 53089-3969
Phone (414) 566-8400

Other names 1

  • QUAD/MED PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quad Med Clinic58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1255439907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W227N6103 SUSSEX RD",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893969",
            "telephone_number": "414-566-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532141100",
            "telephone_number": "414-566-3070",
            "fax_number": "414-566-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD/MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-566-8400"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUAD/MED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.