Active NPI
Milwaukee Pharmacy LLC
Doing business as Milwaukee Pharmacy
- Community/Retail Pharmacy
- Milwaukee, WI
National Provider Identifier
1982230017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MILWAUKEE PHARMACY LLC
- Doing business as
- Milwaukee Pharmacy
- Practice address
- 2400 W Burleigh St
Milwaukee, WI 53206-1201 - Phone
- (414) 442-8760
- NPI assigned
- Mar 20, 2020
- Last updated
- Jun 29, 2020
- 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
- Jamal Elzeibagh
- Title
- President
- Phone
- (262) 334-5024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
2400 W Burleigh St
Milwaukee, WI 53206-1201
Mailing address
2400 W Burleigh St
Milwaukee, WI 53206-1201
Other names 1
- Milwaukee Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Milwaukee Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2400 W Burleigh St
Milwaukee, WI 53206
Phone (414) 442-8760
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1982230017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532061201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532061201",
"telephone_number": "414-442-8760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILWAUKEE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-20",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "ELZEIBAGH",
"authorized_official_first_name": "JAMAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-334-5024"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Milwaukee Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Milwaukee, WI
- Milwaukee Orthopedic Specialists, S.C.
- Milwaukee Orthpaedic Group LTD
- Milwaukee Pain Treatment Services
- Milwaukee Pain Treatment Services SC
- Milwaukee Pharmacy LLC (Omni Pharmacy)
- Milwaukee Psychotherapy Collaborative
- Milwaukee Public Schools
- Milwaukee Rehabilitation and Therapy Inc
- Milwaukee Rehabilitation Hospital, LLC
- Milwaukee Rheumatology Center, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.