NPIMap

Organization Active NPI

Prunella Pharmacy LLC

  • Specialty Pharmacy
  • Brookfield, WI
National Provider Identifier
1659293116
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PRUNELLA PHARMACY LLC
Practice address
17135 W Capitol Dr Ste 110
Brookfield, WI 53005-2142
Phone
(262) 777-6911
Fax
(262) 777-6910
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Fatma Saad, RPH
Title
Owner
Phone
(262) 420-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

17135 W Capitol Dr Ste 110
Brookfield, WI 53005-2142

Mailing address

17135 W Capitol Dr Ste 110
Brookfield, WI 53005-2142
Phone (262) 777-6911

National Provider Directory

National Provider Directory
Tax ID family
Prunella Pharmacy2 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": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1659293116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17135 W CAPITOL DR STE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052142",
            "telephone_number": "262-777-6911",
            "fax_number": "262-777-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17135 W CAPITOL DR STE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052142",
            "telephone_number": "262-777-6911",
            "fax_number": "262-777-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUNELLA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "FATMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-420-9525",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.