Froedtert Memorial Lutheran Hospital, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7501-042 Issued in WI

Legal business name

FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.

Doing business as

Froedtert Outpatient West Pharmacy

Practice address

9200 W Wisconsin Ave
Suite 200W
Milwaukee, WI 53226-3522

Phone

(414) 805-5114

Fax

(414) 805-7961

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery R Van de Kreeke

Title

Sr. Vice President - Finance

Phone

(414) 777-0968

Specialties & licenses 4

Addresses

Other names 1

• Froedtert Outpatient West Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1881783777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "SUITE 200W",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-5114",
            "fax_number": "414-805-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "SUITE 200W",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-5114",
            "fax_number": "414-805-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "VAN DE KREEKE",
        "authorized_official_first_name": "JEFFERY",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "7501-042",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Outpatient West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Froedtert Memorial Lutheran Hospital, Inc.
• Froedtert Memorial Lutheran Hospital, Inc. (CDI-Froedtert Memorial Lutheran Hospital)
• Froedtert Memorial Lutheran Hospital, Inc. (Center for Advanced Care Pharmacy)
• Froedtert Memorial Lutheran Hospital, Inc.
• Froedtert Memorial Lutheran Hospital, Inc. (Froedtert Outpatient East Pharmacy)
• Froedtert Surgery Center, LLC
• Amelia Froehlich, ATC
• Elizabeth Ak Froelich, PA-C
• Sarah J Frogge, NP
• Natasha Frohna

• Community/Retail Pharmacy in Milwaukee, WI
• Providers in Milwaukee, 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 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.