Hayward Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5343-42 Issued in WI

Legal business name

HAYWARD PHARMACY INC.

Doing business as

dba SWAN SERV - U PHARMACY

Practice address

9130 W North Ave
Wauwatosa, WI 53226-2623

Phone

(414) 258-9550

Fax

(414) 258-1088

NPI assigned

Dec 14, 2006

Organization subpart

Yes

Parent organization

HAYWARD PHARMACY INC DBA SWAN SERV U PHARMAs reported in NPPES

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

Authorized official

Name

Mr. Timothy James Walsh, RPH

Title

President

Phone

(414) 640-7129

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• dba SWAN SERV - U PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Hayward Pharmacy Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Koch Dawes, R.PH.

  • Pharmacist
  • Menomonee Falls, WI
  • NPI 1093063737
  NPD
• Adam Jacob Pistiner, PHARM.D

  • Pharmacist
  • Whitefish Bay, WI
  • NPI 1578817375
  NPD
• Judith Ann Doyle, RPH

  • Pharmacist
  • Wauwatosa, WI
  • NPI 1639781248
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1962564583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 W. NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262696",
            "telephone_number": "414-258-9550",
            "fax_number": "414-258-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262623",
            "telephone_number": "414-258-9550",
            "fax_number": "414-258-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD PHARMACY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYWARD PHARMACY INC DBA SWAN SERV U PHARM",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-640-7129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "5343",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "5343-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33139800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5103205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba SWAN SERV - U PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Jean Haviland Ziolkowski, RN
• Jane A. Hawes, MD
• Aimee Susanne Hay, LCSW
• Anna Hayes
• Ellen C Hayes, MD
• James R Heaberlin, M.D.
• Healing Harmonies, LLC
• Health Network of Wisconsin
• Heart Emergency Physicians, LLP
• Mindyn A Heimsch, PA

• Community/Retail Pharmacy in Wauwatosa, WI
• Providers in Wauwatosa, 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 Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.