Susan Kaye Ognacevic, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10471-40 Issued in WI

Practice address

9220 W Greenfield Ave
West Allis, WI 53214-2730

Phone

(414) 456-9228

Fax

(414) 456-0882

NPI assigned

Mar 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Glendale, WI
  • NPI 1649947573
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1407481922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N 49TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083628",
            "telephone_number": "414-430-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142730",
            "telephone_number": "414-456-9228",
            "fax_number": "414-456-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGNACEVIC",
        "first_name": "SUSAN",
        "middle_name": "KAYE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10471-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Oakland, IBCLC, RLC
• John Adam Obudzinski, D.O.
• Juana Ochoa
• Laura Ann Ochtrup, M.S.W.
• Odyssey Healthcare Operating B LP
• Chineze Oguonu, APNP
• Ohana Behavioral Services, LLC
• Oklahoma Pharmacy Inc
• Eno Okon
• Jennifer Olson, RN

• Pharmacist in West Allis, WI
• Providers in West Allis, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.