Individual provider Active NPI

Nisreen Hussein, RPH

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1710596465
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19762-40 Issued in WI
Practice address
1844 S 15TH St
Milwaukee, WI 53204-3225
Phone
(414) 999-0999
Fax
(414) 562-6888
NPI assigned
Jul 29, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19762-40 WI Primary

Addresses

Primary practice location

1844 S 15TH St
Milwaukee, WI 53204-3225

Mailing address

2655 Calla Lily LN
Brookfield, WI 53005-5251
Phone (414) 204-0204

Other practice location 1

2655 Calla Lily Ln
Brookfield, WI 53005-5251
Phone (414) 204-0204

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
19762-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Wi RX2 LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1710596465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CALLA LILY LN",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055251",
            "telephone_number": "414-204-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 S 15TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043225",
            "telephone_number": "414-999-0999",
            "fax_number": "414-562-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Calla Lily Ln",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055251",
            "country_code": "US",
            "telephone_number": "414-204-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "NISREEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19762-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 29, 2020; 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.