West Allis Prescription Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9416-42 Issued in WI

Legal business name

WEST ALLIS PRESCRIPTION CENTER INC

Doing business as

Skywalk Pharmacy West Allis

Practice address

6737 W Washington Ave
Suite 1100
West Allis, WI 53214

Phone

(414) 337-3333

Fax

(414) 337-3338

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Marc Cadieux

Title

Corporate VP/Cfo

Phone

(414) 266-6226

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Skywalk Pharmacy West Allis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Maxwell, PHARM.D., BCACP

  • Pharmacist
  • West Allis, WI
  • NPI 1346430899
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1891148318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "address_2": "MS 900 ROSALIE O'MEARA",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532011997",
            "telephone_number": "414-266-6223",
            "fax_number": "414-337-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON AVE",
            "address_2": "SUITE 1100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53214",
            "telephone_number": "414-337-3333",
            "fax_number": "414-337-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALLIS PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "CADIEUX",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CORPORATE VP/CFO",
        "authorized_official_telephone_number": "414-266-6226"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9416-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skywalk Pharmacy West Allis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skywalk Pharmacy West Allis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Allis Memorial Hospital, Inc.
• West Allis Memorial Hospital, Inc.
• West Allis Memorial Hospital, Inc.
• West Allis Nursing & Rehabilitation Center, LLC
• West Allis Orthopedic Clinic, LTD
• West Allis Primary Care Physicians, S.C.
• West Allis School District
• West Allis Surgery Center LLC
• West Park Place Senior Living Care
• West Side Neurology SC

• Community/Retail Pharmacy in West Allis, WI
• Providers in West Allis, 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 Sep 25, 2019; 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.