NPIMap

Organization Active NPI

Children's Hospital of Wisconsin, Inc.

Doing business as Skywalk Pharmacy

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1265453229
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8244-42 Issued in WI
Legal business name
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Doing business as
Skywalk Pharmacy
Practice address
9000 W. Wisconsin Ave.
Milwaukee, WI 53226-4874
Phone
(414) 266-1893
Fax
(414) 266-1894
NPI assigned
Jul 22, 2006
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL OF WISCONSIN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Marc Cadieux
Title
Senior Vice President, Cfo
Phone
(414) 266-6226

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 8244-42 WI Primary
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

9000 W. Wisconsin Ave.
Milwaukee, WI 53226-4874

Mailing address

PO Box 1997
Ms 900 Rosalie O'Meara
Milwaukee, WI 53201-1997
Phone (414) 266-2000

Other identifiers 3

IdentifierTypeStateIssuer
2110046OtherPK
33265100MedicaidWI
11019700MedicaidWI

Other names 1

  • SKYWALK PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Hospital of Wiscosnin Inc22 organizations share this tax ID, including this one
Part of
Children's Hospital of Wiscosnin Inc

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

9000 W Wisconsin Ave
Ste 211
Wauwatosa, WI 53226
Phone (414) 266-1893

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1265453229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "address_2": "MS 900 ROSALIE O'MEARA",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532011997",
            "telephone_number": "414-266-2000",
            "fax_number": "414-266-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W. WISCONSIN AVE.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-1893",
            "fax_number": "414-266-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF WISCONSIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF WISCONSIN, INC.",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "CADIEUX",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "414-266-6226"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8244-42",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33265100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11019700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKYWALK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKYWALK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 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.