Prunella Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRUNELLA PHARMACY LLC

Doing business as

Prunella Pharmacy

Practice address

17135 W Capitol Dr
Ste 110
Brookfield, WI 53005

Phone

(262) 420-9525

Fax

(414) 296-8456

NPI assigned

Aug 1, 2025

Last updated

Nov 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fatma Saad, RPHNPI 1477039022

Title

Pharmacy Manager

Phone

(262) 420-9525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prunella Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Prunella Pharmacy2 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.

• Prunella Pharmacy LLC

  • Specialty Pharmacy
  • Brookfield, WI
  • NPI 1659293116
  NPD tax ID

Locations

Practitioners 2

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.

• Fatma M Saad, RPH

  • Pharmacist
  • Brookfield, WI
  • NPI 1477039022
  NPD Authorized official
• Mazen Seddick, RPH

  • Pharmacist
  • Shorewood, WI
  • NPI 1710431200
  NPD

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1831073022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17135 W CAPITOL DRIVE",
            "address_2": "SUITE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-777-6911",
            "fax_number": "262-777-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17135 W CAPITOL DR",
            "address_2": "STE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-420-9525",
            "fax_number": "414-296-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUNELLA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "FATMA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "262-420-9525",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "10157-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prunella Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katie J Prucha, LPC-IT
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• Melissa Ptacek, LPC
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• Lisa Pusheck, PTA

• Community/Retail Pharmacy in Brookfield, WI
• Providers in Brookfield, 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 Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.