Community Memorial Hospital of Menomonee Falls Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

9406-42 Issued in WI

Legal business name

COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC

Doing business as

Froedtert & the Medical College of Wisconsin Home Infusion
ISC Central Hospital Pharmacy

Practice address

N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102

Phone

(262) 532-5124

Fax

(262) 532-5114

NPI assigned

Feb 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Drizd

Title

Pharmacy Director

Phone

(262) 532-5168

Specialties & licenses 2

Addresses

Other names 3

• Froedtert & the Medical College of Wisconsin Home Infusion Doing business as
• ISC Central Hospital Pharmacy Doing business as
• Froedtert & MCW Home Infusion Other name

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Menomonee Falls Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Menomonee Falls, WI
  • NPI 1689666596

  Member Of

  NPD member

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730627894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N86W12999 NIGHTINGALE WAY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512102",
            "telephone_number": "262-532-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N86W12999 NIGHTINGALE WAY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512102",
            "telephone_number": "262-532-5124",
            "fax_number": "262-532-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DRIZD",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "262-532-5168"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "WI",
            "license": "9406-42",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WI",
            "license": "9406-42",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert & the Medical College of Wisconsin Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ISC Central Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Froedtert & MCW Home Infusion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ross Clay, MD
• Clinical Psychology Associates
• Community Birth Group
• Community Memorial Hospital
• Community Memorial Hospital of Menomonee Falls Inc (Froedtert Menomonee Falls Hospital)
• Community Memorial Hospital of Menomonee Falls, Inc (Community Memorial Hospital Family Medicine Clinic)
• Community Memorial Hospital of Menomonee Falls, Inc. (Froedtert and MCW Specialty Pharmacy)
• Community Memorial Hospital of Menomonee Falls, Inc.
• Complete Accessible Ready Environments (Care)
• Emily Anne Conger, OTR

• Home Infusion Therapy Pharmacy in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Home Infusion Therapy Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.