NPIMap

Organization Active NPI

Froedtert Memorial Lutheran Hospital, Inc.

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1861573446
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7516-042 Issued in WI
Legal business name
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Practice address
9200 W Wisconsin Ave
Suite 100E
Milwaukee, WI 53226-3522
Phone
(414) 805-6501
Fax
(414) 805-6513
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Mr. Jeffrey R Van de Kreeke
Title
Sr. Vice President - Finance
Phone
(414) 777-0968

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 7516-042 WI Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

9200 W Wisconsin Ave
Suite 100E
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Suite 100E
Milwaukee, WI 53226-3522
Phone (414) 805-6501

Other names 1

  • Froedtert Outpatient East Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1861573446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "SUITE 100E",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6501",
            "fax_number": "414-805-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "SUITE 100E",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6501",
            "fax_number": "414-805-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "VAN DE KREEKE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "414-777-0968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7516-042",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Outpatient East Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.