Froedtert Health Home Infusion LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

FROEDTERT HEALTH HOME INFUSION LLC

Practice address

N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102

Phone

(262) 532-5124

Fax

(262) 532-5114

NPI assigned

Aug 29, 2019

Last updated

Sep 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Perhach

Title

Business Manager

Phone

(262) 532-5163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1306494620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N86W12999 NIGHTINGALE WAY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512102",
            "telephone_number": "262-532-5124",
            "fax_number": "262-532-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N86W12999 NIGHTINGALE WAY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512102",
            "telephone_number": "262-532-5124",
            "fax_number": "262-532-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT HEALTH HOME INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "PERHACH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "262-532-5163"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Friedrichs, APRN, BC
• Froedtert &the Medical College of Wisconsin Community Physicians Inc
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• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
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• Froedtert Health Pharmacy LLC (Froedtert Pharmacy 150)
• Froedtert Health Pharmacy LLC
• Froedtert Memorial Lutheran Hospital, Inc. (Froedtert Hospital RAYUS Radiology)

• Home Infusion Therapy Pharmacy in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Home Infusion Therapy Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.