Hayeks Shorewood Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4184-42 Issued in WI

Legal business name

HAYEKS SHOREWOOD PHARMACY INC

Practice address

4001 N Downer Ave
Milwaukee, WI 53211-2127

Phone

(414) 332-8870

Fax

(414) 332-0188

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

William Quandt, RPH

Title

Owner

Phone

(414) 332-8870

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HAYEKS SHOREWOOD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1891706396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N DOWNER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112127",
            "telephone_number": "414-332-8870",
            "fax_number": "414-332-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N DOWNER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112127",
            "telephone_number": "414-332-8870",
            "fax_number": "414-332-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYEKS SHOREWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "QUANDT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-332-8870",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "4184-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33140700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYEKS SHOREWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qurratulain Hayat, MD
• Umar Hayat, DMD
• Melisa A Hayburn, SAC-IT
• Erin Drwe Hayden, SAC-IT
• Kendrek Allen Hayden
• Justice Hayes-Cox
• Alisa Hayes
• Andrea L Hayes, PA-C
• Avery M. Hayes, M.D.
• Christine Hayes

• 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 Apr 25, 2016; 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.