Active NPI
Shikret, Inc
- Pharmacy
- Milwaukee, WI
National Provider Identifier
1346787124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 9441-42
- Legal business name
- SHIKRET, INC
- Practice address
- 1238 S Cesar E Chavez Dr
Milwaukee, WI 53204-2267 - Phone
- (414) 333-2478
- NPI assigned
- Jan 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alexander Shister
- Title
- President
- Phone
- (414) 333-2478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 9441-42 | WI | Primary |
Addresses
Primary practice location
1238 S Cesar E Chavez Dr
Milwaukee, WI 53204-2267
Mailing address
5335 W River Trail Rd
Mequon, WI 53092-4876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9441-42 | Other | WI | STATE LICENSE |
Other names 1
- Clinica Latina Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1346787124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 W RIVER TRAIL RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530924876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042267",
"telephone_number": "414-333-2478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIKRET, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "SHISTER",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-333-2478",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "9441-42",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "9441-42",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinica Latina 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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.