Health Center Pharmacy of Menomonee Falls

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6734042 Issued in WI

Legal business name

HEALTH CENTER PHARMACY OF MENOMONEE FALLS

Practice address

N14W23900 Stone Ridge Dr
Waukesha, WI 53188-1135

Phone

(262) 574-7869

Fax

(262) 574-8019

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Thomas Hofbauer, RPH

Title

Manager

Phone

(262) 574-7869

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HEALTH CENTER PHARMACY-WEST Doing business as

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1992704159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N14W23900 STONE RIDGE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881135",
            "telephone_number": "262-574-7869",
            "fax_number": "262-574-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N14W23900 STONE RIDGE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881135",
            "telephone_number": "262-574-7869",
            "fax_number": "262-574-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CENTER PHARMACY OF MENOMONEE FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "HOFBAUER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-574-7869",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6734042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33196600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5118105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CENTER PHARMACY-WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Haury
• Sara Denise Hawkins
• Christina Hawthorn, CPM, IBCLC
• Melissa Jo Hazelwood, MS, LAT
• Greg Heal, M.D.
• Healthstat Onsite Clinic- Waukesa
• Hearing Center, Inc.
• Heartland-Pewauke of Waukesha Wi LLC
• Michelle Kathryn Heaton, D.O.
• Amanda Hebard

• Community/Retail Pharmacy in Waukesha, WI
• Providers in Waukesha, 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 Mar 16, 2010; 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.