Active NPI
Jewel Food Stores Inc
- Community/Retail Pharmacy
- Milwaukee, WI
National Provider Identifier
1467408971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JEWEL FOOD STORES INC
- Practice address
- 2355 N 35TH St
Milwaukee, WI 53210-3033 - Phone
- (414) 447-8117
- Fax
- (414) 447-8365
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 8057 | WI | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2355 N 35TH St
Milwaukee, WI 53210-3033
Mailing address
2355 N 35TH St
Milwaukee, WI 53210-3033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33254000 | Medicaid | WI | |
| 5126277 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- JEWEL OSCO
National Provider Directory
National Provider Directory- Tax ID family
- Osco Drug Store 3626
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Racine, WI
- NPI 1285680793
-
- Community/Retail Pharmacy
- Germantown, WI
- NPI 1376599886
-
- Community/Retail Pharmacy
- Franklin Park, IL
- NPI 1811088453
Locations
2355 N 35th St
Milwaukee, WI 53210
Phone (414) 447-8117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1467408971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 N 35TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532103033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 N 35TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532103033",
"telephone_number": "414-447-8117",
"fax_number": "414-447-8365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWEL FOOD STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "LORENZO",
"authorized_official_title_or_position": "NEW STORE ENROLLMENTS",
"authorized_official_telephone_number": "847-916-4463"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "8057",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33254000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5126277",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JEWEL OSCO",
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.