Active NPI
Shorewood Specialty LLC
- Specialty Pharmacy
- Shorewood, WI
National Provider Identifier
1659268142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- SHOREWOOD SPECIALTY LLC
- Doing business as
- Sage Specialty Pharmacy
- Practice address
- 4001 N Oakland Ave
Shorewood, WI 53211-2356 - Phone
- (414) 861-7243
- Fax
- (414) 906-0187
- NPI assigned
- Jun 18, 2025
- 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
- Dr. Hashim Zaibak
- Title
- Pharmacist Owner
- Phone
- (414) 712-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
4001 N Oakland Ave
Shorewood, WI 53211-2356
Mailing address
PO Box 13337
Milwaukee, WI 53213-0337
Phone (414) 861-7243
Other names 1
- Sage Specialty Pharmacy
National Provider Directory
National Provider DirectoryLocations
4001 N Oakland Ave
Shorewood, WI 53211
Phone (414) 861-7243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1659268142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13337",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532130337",
"telephone_number": "414-861-7243",
"fax_number": "414-906-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N OAKLAND AVE",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112356",
"telephone_number": "414-861-7243",
"fax_number": "414-906-0187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOREWOOD SPECIALTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "ZAIBAK",
"authorized_official_first_name": "HASHIM",
"authorized_official_title_or_position": "PHARMACIST OWNER",
"authorized_official_telephone_number": "414-712-5200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sage Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shorewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.