Organization Active NPI

Layton Pharmacy SC

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1720629504
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LAYTON PHARMACY SC
Practice address
2741 W Layton Ave Ste 105
Milwaukee, WI 53221-2600
Phone
(414) 800-4070
Fax
(414) 800-4068
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dharmesh Ghelani, PHARM D
Title
President
Phone
(414) 800-4070

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2741 W Layton Ave Ste 105
Milwaukee, WI 53221-2600

Mailing address

2741 W Layton Ave Ste 105
Milwaukee, WI 53221-2600
Phone (414) 800-4070

Other identifiers 1

IdentifierTypeStateIssuer
9607-42OtherWISTATE LIC

Other names 1

  • MIDTOWN PHARMACY 4 Doing business as

National Provider Directory

National Provider Directory

Locations

2741 W Layton Ave
Ste 105
Milwaukee, WI 53221
Phone (414) 800-4070

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1720629504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212600",
            "telephone_number": "414-800-4070",
            "fax_number": "414-800-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212600",
            "telephone_number": "414-800-4070",
            "fax_number": "414-800-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYTON PHARMACY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "GHELANI",
        "authorized_official_first_name": "DHARMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-800-4070",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "9607-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN PHARMACY 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 3, 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.