Active NPI
Emily Marie Bronikowski, PHARMD, MBA
- Pharmacist
- West Allis, WI
National Provider Identifier
1841965167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21065-40
- Practice address
- 9220 W Greenfield Ave
West Allis, WI 53214-2730 - Phone
- (414) 456-9119
- NPI assigned
- Aug 9, 2021
- Last updated
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21065-40 | WI | Primary |
Addresses
Primary practice location
9220 W Greenfield Ave
West Allis, WI 53214-2730
Mailing address
9220 W Greenfield Ave
West Allis, WI 53214-2730
Phone (414) 456-9119
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21065-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1841965167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142730",
"telephone_number": "414-456-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142730",
"telephone_number": "414-456-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONIKOWSKI",
"first_name": "EMILY",
"middle_name": "MARIE",
"credential": "PHARMD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21065-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.