Midtown Pharmacy SC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9296-42 Issued in WI

Legal business name

MIDTOWN PHARMACY SC

Doing business as

Midtown Pharmacy

Practice address

7235 W Appleton Ave Ste 101
Milwaukee, WI 53216-1932

Phone

(414) 269-0341

Fax

(414) 455-4509

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Payal Surani

Title

President

Phone

(630) 624-3545

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Midtown Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1821489931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 W APPLETON AVE",
            "address_2": "STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-269-0341",
            "fax_number": "414-455-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 W APPLETON AVE STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-269-0341",
            "fax_number": "414-455-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PHARMACY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SURANI",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-624-3545"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9296-42",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Milwaukee, WI
• Providers in Milwaukee, 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 Feb 24, 2015; 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.