Active NPI
H1 Mke LLC
Doing business as Health One Milwaukee
- Long Term Care Pharmacy
- Brown Deer, WI
National Provider Identifier
1790821353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 8707042
- Legal business name
- H1 MKE LLC
- Doing business as
- Health One Milwaukee
- Practice address
- 9077 N Deerbrook Trail
Brown Deer, WI 53223 - Phone
- (414) 586-0845
- Fax
- (414) 586-0852
- NPI assigned
- Jan 30, 2007
- Last updated
- Dec 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rob Olson
- Title
- Pic
- Phone
- (262) 993-5682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 8707042 | WI | Primary |
Addresses
Primary practice location
9077 N Deerbrook Trail
Brown Deer, WI 53223
Mailing address
9077 N Deerbrook Trail
Brown Deer, WI 53223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5129766 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 5129766 | Other | OTHER ID NUMBER |
Other names 1
- HEALTH ONE MILWAUKEE
National Provider Directory
National Provider DirectoryLocations
9077 N Deerbrook Trl
Brown Deer, WI 53223
Phone (414) 586-0845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Brown Deer, WI
- NPI 1639205305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198022400000",
"number": "1790821353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9077 N DEERBROOK TRAIL",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "53223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9077 N DEERBROOK TRAIL",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "53223",
"telephone_number": "414-586-0845",
"fax_number": "414-586-0852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H1 MKE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2007-12-19",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "262-993-5682"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "WI",
"license": "8707042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5129766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5129766",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALTH ONE MILWAUKEE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.