Active NPI
Synergy Apothecary LLC
Doing business as Synergy Apothecary
- Compounding Pharmacy
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- SYNERGY APOTHECARY LLC
- Doing business as
- Synergy Apothecary
- Practice address
- 10101 W Innovation Dr Ste 600
Wauwatosa, WI 53226-4824 - Phone
- (414) 721-6816
- Fax
- (800) 917-2591
- NPI assigned
- Nov 7, 2024
- Last updated
- Nov 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Bergh, RPH
- Title
- Pharmacy Manager
- Phone
- (414) 721-6816
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mail Order Pharmacy | 3336M0002X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU | Primary |
Addresses
Primary practice location
10101 W Innovation Dr Ste 600
Wauwatosa, WI 53226-4824
Mailing address
10101 W Innovation Dr Ste 600
Wauwatosa, WI 53226-4824
Phone (414) 721-6816
Other names 1
- Synergy Apothecary
National Provider Directory
National Provider DirectoryLocations
10101 W Innovation Dr
Ste 600
Wauwatosa, WI 53226
Phone (414) 831-9970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Milwaukee, WI
- NPI 1316290638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1912720814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 W INNOVATION DR STE 600",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264824",
"telephone_number": "414-721-6816",
"fax_number": "800-917-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 W INNOVATION DR STE 600",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264824",
"telephone_number": "414-721-6816",
"fax_number": "800-917-2591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY APOTHECARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "BERGH",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "414-721-6816",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.