Organization Active NPI

Shorewood Specialty LLC

  • Specialty Pharmacy
  • Shorewood, WI
National Provider Identifier
1659268142
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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

Updated by the provider on Jun 18, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.