Individual provider Active NPI

Elena Maloletko, PHARMD

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1801415500
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19817-40 Issued in WI
Practice address
2611 N Stowell Ave Apt E
Milwaukee, WI 53211-4222
Phone
(309) 550-1174
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 19817-40 WI Primary

Addresses

Primary practice location

2611 N Stowell Ave Apt E
Milwaukee, WI 53211-4222

Mailing address

2611 N Stowell Ave Apt E
Milwaukee, WI 53211-4222
Phone (309) 550-1174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elena.maloletko@aah.org Direct Aurora St. Luke's Medical Center

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19817-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1801415500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N STOWELL AVE APT E",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114222",
            "telephone_number": "309-550-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N STOWELL AVE APT E",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114222",
            "telephone_number": "309-550-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOLETKO",
        "first_name": "ELENA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19817-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elena.maloletko@aah.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Aurora St. Luke's Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.