NPIMap

Organization Active NPI

Wauwatosa Prescription Center, Inc.

Doing business as Skywalk Pharmacy New Berlin

  • Pharmacy
  • New Berlin, WI
National Provider Identifier
1669885471
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WAUWATOSA PRESCRIPTION CENTER, INC.
Doing business as
Skywalk Pharmacy New Berlin
Practice address
4855 S Moorland Road
New Berlin, WI 53151
Phone
(262) 432-7613
Fax
(414) 266-1894
NPI assigned
Jun 9, 2014
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WAUWATOSA PRESCRIPTION CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Marc Cadieux
Title
Corporate VP/Cfo
Phone
(414) 266-6226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4855 S Moorland Road
New Berlin, WI 53151

Mailing address

PO Box 1997
Ms 900 Rosalie O'Meara
Milwaukee, WI 53201-1997
Phone (414) 266-6223

Other names 1

  • Skywalk Pharmacy New Berlin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wauwatosa Prescription Center Inc2 organizations share this tax ID, including this one
Part of
Wauwatosa Prescription Center Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1669885471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "address_2": "MS 900 ROSALIE O'MEARA",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532011997",
            "telephone_number": "414-266-6223",
            "fax_number": "414-266-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND ROAD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "262-432-7613",
            "fax_number": "414-266-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUWATOSA PRESCRIPTION CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAUWATOSA PRESCRIPTION CENTER, INC.",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "CADIEUX",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CORPORATE VP/CFO",
        "authorized_official_telephone_number": "414-266-6226"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skywalk Pharmacy New Berlin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skywalk Pharmacy New Berlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.