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PROHEALTH PHARMACY - WAUKESHA
NPI 1073528675
Pharmacy - Community/Retail Pharmacy in Waukesha, WI

Active since July 30, 2006
725 AMERICAN AVE STE 2309, WAUKESHA, WI 53188(262) 928-2279(262) 544-0928 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prohealth Pharmacy - Waukesha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH PHARMACY - WAUKESHA (NPI 1073528675) is a healthcare organization registered as a community/retail pharmacy in Waukesha, Wisconsin and active in the NPI registry since July 2006. The organization lists Thomas W Johnson, Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1073528675
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAUKESHA HEALTH SYSTEM, INC
Location Address725 AMERICAN AVE STE 2309Waukesha, WI 53188-5031
Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-2279 · Fax (262) 544-0928
Phone(262) 928-2279
Fax(262) 544-0928
Organization SubpartNo
Authorized OfficialThomas W JohnsonReimbursement Manager · (262) 928-4704
Enumeration DateJuly 30, 2006
Last NPPES UpdateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
✔ NPI 1073528675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 669442
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
725 AMERICAN AVE STE 2309, Waukesha, WI 53188
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Other Names 1

Doing Business AsProhealth Pharmacy - Waukesha

Other Identifiers 2

Other2113659Pk
Medicaid33154500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prohealth Pharmacy - Waukesha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prohealth Pharmacy - Waukesha, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Sershon, LCSW
Clinical Social Worker
NPI 1407397938
W175N11081 STONEWOOD DR STE 212
Germantown, WI 53022
(262) 244-6177
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waukesha Health System, Inc's NPI number?

The NPI number for Waukesha Health System, Inc is 1073528675. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Prohealth Pharmacy - Waukesha.

Where is Waukesha Health System, Inc located?

Waukesha Health System, Inc is located at 725 American Ave Ste 2309, Waukesha, WI 53188. The listed phone number is (262) 928-2279.

What is Waukesha Health System, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Waukesha Health System, Inc enrolled in Medicare?

Yes. Waukesha Health System, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waukesha Health System, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Waukesha Health System, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Waukesha Health System, Inc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 36 other insurers list Waukesha Health System, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waukesha Health System, Inc was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.