Columbia St. Mary'S Hospital Milwaukee, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

8525-042 Issued in WI

Legal business name

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC

Practice address

2015 E Newport Ave
Ste M121
Milwaukee, WI 53211-2984

Phone

(414) 961-3464

Fax

(414) 961-5378

NPI assigned

Nov 3, 2005

Organization subpart

No

Name

Ms. Rhonda Anderson

Title

Cfo

Phone

(414) 270-4850

• Newport Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2011.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1366433815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N PORT WASHINGTON RD",
            "address_2": "ATTN: CSMCP CLINIC CREDENTIALING",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121082",
            "telephone_number": "414-291-1303",
            "fax_number": "414-278-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "STE M121",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-961-3464",
            "fax_number": "414-961-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-270-4850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8525-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33213400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Colucci, NP
• Columbia Cardiographic Consultants, LTD.
• Columbia Community Physicians
• Columbia St. Mary'S Hospital Milwaukee Inc
• Columbia St. Mary'S Hospital Milwaukee, Inc
• Columbia St. Mary'S Hospital Milwaukee, Inc
• Columbia St. Mary'S Hospital Milwaukee, Inc
• Columbia St. Mary'S Hospital Milwaukee, Inc.
• Linda A Colvin, LPN
• Zachary Andrew Colvin, D.O.

• All providers in Milwaukee, WI
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.