Organization Active NPI

Wheaton Franciscan Holdings, Inc.

Doing business as Wheaton Franciscan Pharmacy

  • Clinic Pharmacy
  • Milwaukee, WI
National Provider Identifier
1649247743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
8396042 Issued in WI
Legal business name
WHEATON FRANCISCAN HOLDINGS, INC.
Doing business as
Wheaton Franciscan Pharmacy
Practice address
2400 West Villard
Milwaukee, WI 53029-4999
Phone
(414) 527-7120
Fax
(414) 527-7121
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry Robinson
Title
Vice President of Business Developm
Phone
(314) 443-6607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 8396042 WI Primary

Addresses

Primary practice location

2400 West Villard
Milwaukee, WI 53029-4999

Mailing address

2400 West Villard
Milwaukee, WI 53029-4999
Phone (414) 527-7120

Other identifiers 1

IdentifierTypeStateIssuer
33274700MedicaidWI

Other names 1

  • Wheaton Franciscan Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wheaton Franciscan Holdings Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649247743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WEST VILLARD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "530294999",
            "telephone_number": "414-527-7120",
            "fax_number": "414-527-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WEST VILLARD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "530294999",
            "telephone_number": "414-527-7120",
            "fax_number": "414-527-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON FRANCISCAN HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF BUSINESS DEVELOPM",
        "authorized_official_telephone_number": "314-443-6607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WI",
            "license": "8396042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33274700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheaton Franciscan Pharmacy",
            "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 Aug 22, 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.