Organization Active NPI

Synergy Apothecary LLC

Doing business as Synergy Apothecary

  • Compounding Pharmacy
  • Wauwatosa, WI
National Provider Identifier
1912720814
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Theresa Bergh, RPHNPI 1316290638
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.