Organization Active NPI

H1 Mke LLC

Doing business as Health One Milwaukee

  • Long Term Care Pharmacy
  • Brown Deer, WI
National Provider Identifier
1790821353
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
8707042 Issued in WI
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5129766OtherOTHER ID NUMBER-COMMERCIAL NUMBER
5129766OtherOTHER ID NUMBER

Other names 1

  • HEALTH ONE MILWAUKEE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.