FHHP Sussex LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9207-42 Issued in WI

Legal business name

FHHP SUSSEX LLC

Doing business as

FHHP Sussex

Practice address

N65W24838 Main St
Sussex, WI 53089-2670

Phone

(262) 820-0200

Fax

(262) 820-0243

NPI assigned

Jun 25, 2013

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Breitenstein

Title

Contracting Specialist

Phone

(920) 992-6800

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• FHHP Sussex Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Froedtert Memorial Lutheran Hospital, Inc.

  dba CDI-Froedtert Memorial Lutheran Hospital

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1255334173

  Member Of

  NPD member

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1396185278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LOWVILLE RD",
            "city": "RIO",
            "state": "WI",
            "postal_code": "539609437",
            "telephone_number": "920-992-6800",
            "fax_number": "920-992-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N65W24838 MAIN ST",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892670",
            "telephone_number": "262-820-0200",
            "fax_number": "262-820-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHHP SUSSEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "BREITENSTEIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "920-992-6800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9207-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHHP Sussex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea R Enters, NURSE PRACTITIONER
• Eternal Adult Family Home LLC
• Everside Health, LLC
• Naomi Lynn Eyers, M.S., CCC-SLP
• Taylor Rae Faubel, LPC
• Melissa Fleuchaus
• Kelly Flynn
• Forward Integrated Services, Inc.
• Sabrina Michelle Foulks-Thomas, RN, CPM, LM, IBCLC
• Kristine Fox, PHARMD

• Community/Retail Pharmacy in Sussex, WI
• Providers in Sussex, 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 Jul 2, 2014; 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.