Individual provider Active NPI

Marwa Bakr

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Milwaukee, WI
National Provider Identifier
1265052450
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
2012940 Issued in WI
Practice address
2700 S 60TH St
Milwaukee, WI 53219-3151
Phone
(414) 988-0008
Fax
(414) 375-6880
NPI assigned
Apr 17, 2020
Last updated
Oct 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2012940 WI Primary

Addresses

Primary practice location

2700 S 60TH St
Milwaukee, WI 53219-3151

Mailing address

2700 S 60TH St
Milwaukee, WI 53219-3151
Phone (414) 988-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2012940WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Pharmacy LLC Current Accepting new patients

Locations

2700 S 60th St
Milwaukee, WI 53219
Phone (414) 541-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1265052450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193151",
            "telephone_number": "414-988-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193151",
            "telephone_number": "414-988-0008",
            "fax_number": "414-375-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKR",
        "first_name": "MARWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "2012940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 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.