Organization Active NPI

Oklahoma Ave Pharmacy Inc

Doing business as Midtown Pharmacy

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1386479772
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OKLAHOMA AVE PHARMACY INC
Doing business as
Midtown Pharmacy
Practice address
5200 W Oklahoma Ave Ste 101
Milwaukee, WI 53219-4501
Phone
(414) 800-4070
Fax
(414) 800-4068
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dharmesh Ghelani, PHARM D
Title
President
Phone
(414) 800-4070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5200 W Oklahoma Ave Ste 101
Milwaukee, WI 53219-4501

Mailing address

5200 W Oklahoma Ave Ste 101
Milwaukee, WI 53219-4501
Phone (414) 800-4070

Other identifiers 1

IdentifierTypeStateIssuer
10089-42OtherWIPHARMACY EXAMINING BOARD

Other names 1

  • Midtown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5200 W Oklahoma Ave
Ste 101
Milwaukee, WI 53219
Phone (414) 800-4070

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1386479772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W OKLAHOMA AVE STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194501",
            "telephone_number": "414-800-4070",
            "fax_number": "414-800-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 W OKLAHOMA AVE STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194501",
            "telephone_number": "414-800-4070",
            "fax_number": "414-800-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA AVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "GHELANI",
        "authorized_official_first_name": "DHARMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-800-4070",
        "authorized_official_credential": "PHARM D"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY EXAMINING BOARD",
            "identifier": "10089-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown 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 Sep 4, 2024; 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.