Pharmacy Compounding Center Associates, LLC.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PHARMACY COMPOUNDING CENTER ASSOCIATES, LLC.

Doing business as

The Prescription Center

Practice address

880 Mill St N Ste 202
West Salem, WI 54669-2213

Phone

(608) 788-4500

Fax

(608) 788-4501

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Thomas Brieske

Title

Owner

Phone

(608) 386-9039

Specialties & licenses 1

Addresses

Other names 1

• The Prescription Center Doing business as

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1881288637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MILL ST N STE 202",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546692213",
            "telephone_number": "608-788-4500",
            "fax_number": "608-788-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MILL ST N STE 202",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546692213",
            "telephone_number": "608-788-4500",
            "fax_number": "608-788-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY COMPOUNDING CENTER ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "BRIESKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-386-9039"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orion West Salem LLC
• Alexandra Overturf, RN
• Paula Ann Parker
• Brittany Payne
• Penny Peterson, PTA
• Pharmacy Compounding LLC.
• Tracy L Quackenbush
• Nicholas Reid, OTR/L
• Hannah Resheske
• Andrew Quinn Riederer, MT-BC, WMTR, NMT

• Compounding Pharmacy in West Salem, WI
• Providers in West Salem, WI by specialty
• Compounding Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.