Wauwatosa Prescription Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9271-42 Issued in WI

Legal business name

WAUWATOSA PRESCRIPTION CENTER INC

Practice address

1655 W Mequon Rd
Mequon, WI 53092

Phone

(262) 236-7722

Fax

(262) 236-7784

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Jacob Olson, RPH

Title

President/Ceo/Ao/Pic

Phone

(262) 432-7603

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Skywalk Mequon Doing business as

Tax ID family

Wauwatosa Prescription Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wauwatosa Prescription Center, Inc.

  • Pharmacy
  • New Berlin, WI
  • NPI 1669885471
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wauwatosa Prescription Center, Inc.

  • Pharmacy
  • New Berlin, WI
  • NPI 1669885471
  NPPES parent name

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1811344666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-236-7722",
            "fax_number": "262-236-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-236-7722",
            "fax_number": "262-236-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUWATOSA PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/CEO/AO/PIC",
        "authorized_official_telephone_number": "262-432-7603",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9271-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100038951",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skywalk Mequon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Kay Warshauer, P.T.
• Washington Hospital Center - Physician Hospital Organization
• Aasia Washington
• Greg Peter Watchmaker, MD
• Dana M Waters, FNP-BC, APNP
• Nicole Angela Weber, LAT
• William James Weber
• Wecare Counseling LLC
• Britani R Weidman
• Eric Weiner, MSW PHD

• Community/Retail Pharmacy in Mequon, WI
• Providers in Mequon, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.