Organization Active NPI

Brookfield Prescription Center Inc

Doing business as MD Custom Rx

  • Community/Retail Pharmacy
  • Brookfield, WI
National Provider Identifier
1912154774
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054017646 Issued in IL
Legal business name
BROOKFIELD PRESCRIPTION CENTER INC
Doing business as
MD Custom Rx
Practice address
19035 W Capitol Dr
Brookfield, WI 53045-2755
Phone
(262) 373-1050
Fax
(262) 373-1053
NPI assigned
Aug 24, 2008
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Monica Zatarski
Title
President
Phone
(262) 373-1050

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301010339 MI
Community/Retail Pharmacy 3336C0003X 8844-42 WI
Community/Retail Pharmacy 3336C0003X 054017646 IL Primary
Compounding Pharmacy 3336C0004X 263654 MN

Addresses

Primary practice location

19035 W Capitol Dr
Brookfield, WI 53045-2755

Mailing address

19035 W Capitol Dr
Ste 102
Brookfield, WI 53045-2755
Phone (262) 373-1050

Other identifiers 1

IdentifierTypeStateIssuer
2116685OtherPK

Other names 1

  • MD Custom Rx Doing business as

National Provider Directory

National Provider Directory

Locations

19035 W Capitol Dr
Ste 102
Brookfield, WI 53045

NPI Registry JSON

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1912154774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "STE 102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-373-1050",
            "fax_number": "262-373-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-373-1050",
            "fax_number": "262-373-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-24",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ZATARSKI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-373-1050"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301010339",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8844-42",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017646",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "263654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Custom Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.