Active NPI
Milwaukee Pharmacy LLC
- Community/Retail Pharmacy
- Milwaukee, WI
National Provider Identifier
1326740432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MILWAUKEE PHARMACY LLC
- Practice address
- 1134 W North Ave
Milwaukee, WI 53205-1333 - Phone
- (414) 442-8760
- Fax
- (414) 442-8761
- NPI assigned
- Mar 21, 2023
- Organization subpart
- Yes
- Parent organization
- MILWAUKEE PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jamal Elzeibagh
- Title
- Owner
- Phone
- (262) 344-5024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1134 W North Ave
Milwaukee, WI 53205-1333
Mailing address
2400 W Burleigh St
Milwaukee, WI 53206-1201
Phone (414) 442-8760
Other names 1
- Omni Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Milwaukee Pharmacy LLC
- Part of
- Milwaukee Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Milwaukee, WI
- NPI 1982230017
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Milwaukee, WI
- NPI 1982230017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1326740432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532061201",
"telephone_number": "414-442-8760",
"fax_number": "414-442-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 W NORTH AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532051333",
"telephone_number": "414-442-8760",
"fax_number": "414-442-8761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILWAUKEE PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MILWAUKEE PHARMACY LLC",
"enumeration_date": "2023-03-21",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "ELZEIBAGH",
"authorized_official_first_name": "JAMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-344-5024",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omni Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Milwaukee, WI
- Milwaukee Orthopaedic Group LTD
- Milwaukee Orthopedic Specialists, S.C.
- Milwaukee Orthpaedic Group LTD
- Milwaukee Pain Treatment Services
- Milwaukee Pain Treatment Services SC
- Milwaukee Pharmacy LLC
- Milwaukee Psychotherapy Collaborative
- Milwaukee Public Schools
- Milwaukee Rehabilitation and Therapy Inc
- Milwaukee Rehabilitation Hospital, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.