Michael Thomas Mackowiak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11245-040 Issued in WI

Practice address

6292 S 27TH St
Milwaukee, WI 53221-4839

Phone

(414) 761-0994

Fax

(414) 761-1796

NPI assigned

Dec 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Milwaukee, WI
  • NPI 1952316002
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1679841464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6292 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214839",
            "telephone_number": "414-761-0994",
            "fax_number": "414-761-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6292 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532214839",
            "telephone_number": "414-761-0994",
            "fax_number": "414-761-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOWIAK",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11245-040",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jean Mackinnon
• Jennifer Macklin, PHARM.D.
• Jessica Macklin, PHARM.D.
• Sean Anthony Mackman, M.D.
• Macknificent Care LLC
• Sherley Maclean
• Julie Kindervater Maclellan, MSOTRL
• James Stuart Macleod, MD
• Kathy Ann Maclin
• Monique Maclin, CARE PROVIDER B&B

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.