ASCENSION RX 1104
NPI 1114994209
Pharmacy - Community/Retail Pharmacy in Brookfield, WI

Q: What is Ascension Wisconsin Pharmacy, Inc.'s NPI number?

The NPI number for Ascension Wisconsin Pharmacy, Inc. is 1114994209. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Ascension Rx 1104.

Q: What is Ascension Wisconsin Pharmacy, Inc.'s specialty?

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

Active since March 07, 2006

19333 W NORTH AVE, SUITE 390, BROOKFIELD, WI 53045(262) 780-4430(262) 780-4440 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Aug 10, 2021, Oct 14, 2020 and 3 more (6 updates tracked since 2016).

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About Ascension Rx 1104 NPPES

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

ASCENSION RX 1104 (NPI 1114994209) is a healthcare organization registered as a community/retail pharmacy in Brookfield, Wisconsin and active in the NPI registry since March 2006. The organization lists Kristopher Cyr, Director, as its authorized official.

NPPES Registry Identity

NPI1114994209

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameASCENSION WISCONSIN PHARMACY, INC.

Location Address19333 W NORTH AVE, SUITE 390Brookfield, WI 53045-4132

Mailing AddressPo Box 860011Minneapolis, MN 55486-0011 · (262) 780-4430 · Fax (262) 780-4440

Phone(262) 780-4430

Fax(262) 780-4440

Organization SubpartNo

Authorized OfficialKristopher CyrDirector · (262) 687-2151

Enumeration DateMarch 7, 2006

Last NPPES UpdateDecember 18, 20246 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1114994209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 846242

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

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

19333 W NORTH AVE, Brookfield, WI 53045

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Other Names 1

Doing Business AsAscension Rx 1104

Other Identifiers 2

Other2110236Pk

Medicaid33280000WI

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 ›

Other Providers at the Same Location NPPES 20

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

HIND MOHAMED ELHASSAN MD

Hospitalist