Moreland Plaza Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

4015-42

Legal business name

MORELAND PLAZA PHARMACY, INC

Practice address

827 W Moreland Blvd
Waukesha, WI 53188-2963

Phone

(262) 542-4488

Fax

(262) 650-4040

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Scott HoffNPI 1720325731

Title

Owner

Phone

(262) 542-4488

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Moreland Plaza Pharmacy 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.

• Moreland Plaza Pharmacy, Inc

  • Community/Retail Pharmacy
  • Waukesha, WI
  • NPI 1619071628
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Hoff, PHARMD

  • Pharmacist
  • Waukesha, WI
  • NPI 1720325731
  NPD Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1821584343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882963",
            "telephone_number": "262-542-4488",
            "fax_number": "262-650-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882963",
            "telephone_number": "262-542-4488",
            "fax_number": "262-650-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELAND PLAZA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-542-4488"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": "4015-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33195300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moreland Medical Center
• Moreland Medical Center X-Ray
• Moreland Medical Laboratory, LLC
• Moreland OB-GYN Associates S C
• Moreland Plaza Pharmacy, Inc
• Carrie Morgan
• Keith Morgan, R. EEG T.
• Michelle Morgan, M.D.
• Melissa Morneo-Hernandez
• Amber Morris, LPC-IT

• Long Term Care Pharmacy in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.