Ellen Maxwell, PHARM.D., BCACP

Primary specialty

PharmacistTaxonomy code 183500000X

License

15166 Issued in WI

Practice address

6737 W Washington St Ste 1100
West Allis, WI 53214-5653

Phone

(414) 337-3333

Fax

(414) 337-3338

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellen Coughlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• West Allis Prescription Center Inc

  • Community/Retail Pharmacy
  • West Allis, WI
  • NPI 1891148318
  NPD
• Children'S Hospital of Wisconsin, Inc.

  • Community/Retail Pharmacy
  • Milwaukee, WI
  • NPI 1265453229
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1346430899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 1100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145653",
            "telephone_number": "414-337-3333",
            "fax_number": "414-337-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 1100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145653",
            "telephone_number": "414-337-3333",
            "fax_number": "414-337-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Horicon St",
            "address_purpose": "LOCATION",
            "city": "Mayville",
            "state": "WI",
            "postal_code": "530501429",
            "country_code": "US",
            "telephone_number": "920-387-7800",
            "fax_number": "920-387-7809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 W Wisconsin Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264867",
            "country_code": "US",
            "telephone_number": "414-266-1893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 S Moorland Rd",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531517494",
            "country_code": "US",
            "telephone_number": "262-432-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ELLEN",
        "credential": "PHARM.D., BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-06-25",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20622",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "COUGHLIN",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Masroor Munim MD
• Robin Lynn Mastera
• Robin Matchett-Schmidt
• Prince Pannipuzha Mathew, M.D
• James Richard Maurin, DDS
• Jennifer May, LPC
• Alohani L Maya Cureno
• Natalie Michelle Mayer, APSW
• Mathew Avery Mayes, LPC-IT, SAC-IT
• Krystal Ann Mazola, MD

• Pharmacist in West Allis, WI
• Providers in West Allis, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.