Individual provider Active NPI

Andrea Ortiz Rivera, PHARMD

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1710555677
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19140 Issued in WI
Practice address
10201 W Innovation Dr Ste 600
Milwaukee, WI 53226-4830
Phone
(414) 410-8152
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19140 WI Primary

Addresses

Primary practice location

10201 W Innovation Dr Ste 600
Milwaukee, WI 53226-4830

Mailing address

2956 W Statesman Way Apt 308
Franklin, WI 53132-4811
Phone (787) 817-9525

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aortizrivera@serveyourx.com Direct SERVE YOU CUSTOM PRESCRIPTION MANAGEMENT INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19140WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1710555677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 W STATESMAN WAY APT 308",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531324811",
            "telephone_number": "787-817-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W INNOVATION DR STE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264830",
            "telephone_number": "414-410-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RIVERA",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aortizrivera@serveyourx.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "SERVE YOU CUSTOM PRESCRIPTION MANAGEMENT INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10201 W Innovation Dr",
            "address_2": "STE 600",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532264822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.