Community Memorial Hospital of Menomonee Falls, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC.

Practice address

N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102

Phone

(262) 532-5163

Fax

(262) 532-5105

NPI assigned

Aug 30, 2019

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 2

Addresses

Other names 1

• Froedtert and MCW Specialty Pharmacy Doing business as

Tax ID family

Community Memorial Hospital of Menomonee Falls Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Memorial Hospital of Menomonee Falls, Inc

  • Family Medicine Physician
  • Menomonee Falls, WI
  • NPI 1952841868
  NPD tax ID

Locations

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1366090599",
    "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": "262-532-5173"
        },
        {
            "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": "262-532-5163",
            "fax_number": "262-532-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert and MCW Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Birth Group
• Community Memorial Hospital
• Community Memorial Hospital of Menomonee Falls Inc
• Community Memorial Hospital of Menomonee Falls Inc
• Community Memorial Hospital of Menomonee Falls, Inc
• Community Memorial Hospital of Menomonee Falls, Inc.
• Complete Accessible Ready Environments
• Emily Anne Conger, OTR
• David Conway, PT
• Lisa Cook, PA

• Community/Retail Pharmacy in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.