NPIMap

Organization Active NPI

Columbia St. Mary's Hospital Milwaukee, Inc

Doing business as Newport Pharmacy

  • Pharmacy
  • Milwaukee, WI
National Provider Identifier
1366433815
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
8525-042 Issued in WI
Legal business name
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Doing business as
Newport Pharmacy
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
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Ms. Rhonda Anderson
Title
Cfo
Phone
(414) 270-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8525-042 WI Primary

Addresses

Primary practice location

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

Mailing address

4425 N Port Washington Rd
Attn: Csmcp Clinic Credentialing
Glendale, WI 53212-1082
Phone (414) 291-1303

Other names 1

  • Newport Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2015 E Newport Ave
Ste M121
Milwaukee, WI 53211
Phone (414) 961-3464

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport 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 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.