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MANOR PHARMACY
NPI 1073580403
Pharmacy in West Allis, WI

Active since March 03, 2006CLIA Certified · 2 labs
8615 W BELOIT RD, WEST ALLIS, WI 53227(414) 607-2165(414) 607-4507 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manor Pharmacy NPPES

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

MANOR PHARMACY (NPI 1073580403) is a healthcare organization registered as a pharmacy in West Allis, Wisconsin and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists James Enlund, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1073580403
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMETHODIST MANOR HEALTH CENTER, INC.
Location Address8615 W BELOIT RDWest Allis, WI 53227-3711
Mailing Address3023 S 84th StWest Allis, WI 53227-3703 · (414) 607-4100 · Fax (414) 607-4502
Phone(414) 607-2165
Fax(414) 607-4507
Organization SubpartNo
Authorized OfficialJames EnlundPresident & Ceo · (414) 607-4100
Enumeration DateMarch 3, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1073580403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in WI · 6309
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
8615 W BELOIT RD, West Allis, WI 53227
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Other Names 1

Doing Business AsManor Pharmacy

Other Identifiers 3

Other5116187WI · Ncpdp Number
Other6309WI · State License Number
Medicaid33028500WI

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2209703

Methodist Manor Inc · West Allis, WI
Active · expires Jan 14, 2027
CLIA Number52D2209703
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Keshni Ramnanan
Laboratory Phone(414) 607-4100
Laboratory LocationMethodist Manor Inc3023 S 84th St, West Allis, WI 53227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D0705008

Methodist Manor Health Center, Inc · West Allis, WI
Active · expires Aug 31, 2026
CLIA Number52D0705008
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Sarfraz Sidhu
Laboratory Phone(414) 607-4100
Laboratory LocationMethodist Manor Health Center, Inc8615 West Beloit Road, West Allis, WI 53227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA HAMMES PHARMACIST
Pharmacist
8615 W BELOIT RD
MILWAUKEE, WI 53227
Milwaukee County (414) 607-4100
METHODIST MANOR HEALTH CENTER INC
Skilled Nursing Facility
8615 W BELOIT RD
WEST ALLIS, WI 53227
Milwaukee County (414) 607-4100
MRS. HELEN MARY FLISS OTR
Occupational Therapist
8615 W BELOIT RD
WEST ALLIS, WI 53227
Milwaukee County (414) 607-4120
MS. CHRISTIN MICHELLE MORAWSKI PT
Physical Therapist
8615 W BELOIT RD
WEST ALLIS, WI 53227
Milwaukee County (414) 607-4223
AURORA PHARMACY, INC.
Pharmacy
8615 W BELOIT RD
WEST ALLIS, WI 53227
Milwaukee County (414) 607-2165

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 Methodist Manor Health Center, Inc.'s NPI number?

The NPI number for Methodist Manor Health Center, Inc. is 1073580403. It was assigned to this organization in the NPPES registry on March 3, 2006. The provider is doing business as Manor Pharmacy.

Where is Methodist Manor Health Center, Inc. located?

Methodist Manor Health Center, Inc. is located at 8615 W Beloit Rd, West Allis, WI 53227. The listed phone number is (414) 607-2165.

What is Methodist Manor Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Methodist Manor Health Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Methodist Manor Health Center, Inc. was last updated on March 7, 2023. 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.