NPIMap

Organization Active NPI

Alliance Pharmacy Services

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1891708434
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8210047 Issued in WI
Legal business name
ALLIANCE PHARMACY SERVICES
Practice address
9301 N 76TH St
Milwaukee, WI 53223-1003
Phone
(414) 357-5104
Fax
(414) 357-5156
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Denise Wassenaar
Title
President
Phone
(630) 986-2560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8210047 WI Primary

Addresses

Primary practice location

9301 N 76TH St
Milwaukee, WI 53223-1003

Mailing address

9301 N 76TH St
Milwaukee, WI 53223-1003
Phone (414) 357-5104

Other identifiers 1

IdentifierTypeStateIssuer
33261600MedicaidWI

Other names 1

  • Resource Pharmacy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Symbria RX Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1891708434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231003",
            "telephone_number": "414-357-5104",
            "fax_number": "414-357-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231003",
            "telephone_number": "414-357-5104",
            "fax_number": "414-357-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "WASSENAAR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-986-2560"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8210047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33261600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resource Pharmacy Services",
            "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 Oct 2, 2008; 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.