Active NPI
Joshua Prostek, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1619358959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17879-40
- Practice address
- 3701 S Howell Ave
Milwaukee, WI 53207-3838 - Phone
- (414) 482-1470
- NPI assigned
- Jun 12, 2015
- Last updated
- Jun 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17879-40 | WI | Primary |
Addresses
Primary practice location
3701 S Howell Ave
Milwaukee, WI 53207-3838
Mailing address
1627 W Wilbur Ave
Milwaukee, WI 53221-1637
Phone (414) 587-4394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17879-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1619358959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 W WILBUR AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211637",
"telephone_number": "414-587-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S HOWELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532073838",
"telephone_number": "414-482-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSTEK",
"first_name": "JOSHUA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17879-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.