Ascension Wisconsin Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Stevens Point, WI
NPI 1386115202 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1386115202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ASCENSION WISCONSIN PHARMACY, INC.
- Practice address
- 900 Illinois Ave
Stevens Point, WI 54481-3114 - Phone
- (715) 346-0750
- Fax
- (715) 346-5698
- NPI assigned
- Dec 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Jonathan W Sohn
- Title
- Cfo
- Phone
- (414) 465-3090
Other NPIs on the same Medicare enrollment 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110125000518 | WI | Part B Supplier - Pharmacy | 0446255459 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wauwatosa, WI; Milwaukee, WI; Franklin, WI; Brookfield, WI; Mequon, WI |
National Provider Directory
Locations
5000 W Chambers St
Rm 5223
Milwaukee, WI 53210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
900 Illinois Ave
Stevens Point, WI 54481-3114
Mailing address
5000 W Chambers St RM 5223
Milwaukee, WI 53210-1650
Phone (414) 874-1035
Other names
- Ascension Rx 705
Other providers in Stevens Point, WI
- Arrowhead Dental Center SC
- Arrowhead Dental Center,SC
- Ascension St Michael'S Hospital, Inc
- Ascension St Michael'S Hospital, Inc
- Ascension St Michael'S Hospital, Inc
- Kelly D Ashbeck
- Aspirus Medical Group, Inc.
- Aspirus Medical Group, Inc.
- Aspirus Medical Group, Inc.
- Aspirus Medical Group, Inc.
All providers in Stevens Point, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.