Active NPI
St. Joseph's Community Hospital of West Bend, Inc.
Doing business as Froedtert Health St. Joseph's Hospital Pharmacy
- Community/Retail Pharmacy
- West Bend, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 9081042
- Legal business name
- ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC.
- Doing business as
- Froedtert Health St. Joseph's Hospital Pharmacy
- Practice address
- 3200 Pleasant Valley Rd Ste 1a
West Bend, WI 53095-9274 - Phone
- (414) 805-5113
- NPI assigned
- Aug 4, 2011
- Last updated
- Mar 9, 2015
- 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
- Binita Patel
- Title
- Assistant Director, Pharmacy
- Phone
- (414) 805-6512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 9081042 | WI | Primary |
Addresses
Primary practice location
3200 Pleasant Valley Rd Ste 1a
West Bend, WI 53095-9274
Mailing address
3200 Pleasant Valley Rd
Suite 1a
West Bend, WI 53095-9274
Phone (414) 805-5113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5132751 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Froedtert Health St. Joseph's Hospital Pharmacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0389008 | St Joseph's Community Hospital | Accreditation | Jan 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
3200 Pleasant Valley Rd
#A1
West Bend, WI 53095
Phone (262) 257-3073
3200 Pleasant Valley Rd
Ste 1A
West Bend, WI 53095
Phone (262) 836-5411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Milwaukee, WI
- NPI 1013172345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1578842811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"address_2": "SUITE 1A",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "414-805-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD STE 1A",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "414-805-5113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "BINITA",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR, PHARMACY",
"authorized_official_telephone_number": "414-805-6512"
},
"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": "9081042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5132751",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Froedtert Health St. Joseph's Hospital Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Bend, WI
- Aristi Spartiatis
- Spine Solutions of West Bend LLC
- Spine Solutions of West Bend LLC
- Jennifer Ann Spors, SAC-IT
- Melissa Anne Spraggon, LPC-IT
- St. Josephs Community Hospital of West Bend Inc. (Froedtert West Bend Hospital)
- Alyssa Stallons
- Samantha Starkey, DNP, APNP, CPNP-PC
- Mark R Staszkiewicz, M.D.
- Elizabeth A Stec
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.