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PORT FAMILY PHARMACY, INC.
NPI 1124718630
Pharmacy - Long Term Care Pharmacy in Port Washington, WI

Active since May 09, 2023CLIA 52D2263239 · Waiver
1021 N WISCONSIN ST, PORT WASHINGTON, WI 53074(262) 261-3900 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Port Family Pharmacy, Inc. NPPES

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

PORT FAMILY PHARMACY, INC. (NPI 1124718630) is a healthcare organization registered as a long term care pharmacy in Port Washington, Wisconsin and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Michael Vineburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1124718630
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePORT FAMILY PHARMACY, INC.
Location Address1021 N WISCONSIN STPort Washington, WI 53074-1207
Mailing Address1021 N Wisconsin StPort Washington, WI 53074-1207 · (262) 261-3900
Phone(262) 261-3900
Organization SubpartNo
Authorized OfficialMichael VineburgOwner · (262) 261-3900
Enumeration DateMay 9, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1124718630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1021 N WISCONSIN ST, Port Washington, WI 53074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 52D2263239

Port Family Pharmacy, Inc · Port Washington, WI
Active · expires Jun 23, 2028
CLIA Number52D2263239
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorMichael J. Vineburg
Laboratory Phone(262) 261-3900
Laboratory LocationPort Family Pharmacy, Inc1021 N Wisconsin St, Port Washington, WI 53074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Port Family Pharmacy, Inc carries, from the Medicare DMEPOS supplier directory.

Port Family Pharmacy, Inc

DMEPOS supplier · Port Washington, WI
✔

Accepts Medicare assignment

Port Family Pharmacy, Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20346773
Medicare Participant SinceNovember 1, 2022
Supplier Location1021 N Wisconsin StPort Washington, WI 53074
Phone(262) 261-3900
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

PORT FAMILY PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
1021 N WISCONSIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 261-3900

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 Port Family Pharmacy, Inc.'s NPI number?

The NPI number for Port Family Pharmacy, Inc. is 1124718630. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Port Family Pharmacy, Inc. located?

Port Family Pharmacy, Inc. is located at 1021 N Wisconsin St, Port Washington, WI 53074. The listed phone number is (262) 261-3900.

What is Port Family Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Port Family Pharmacy, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Port Family Pharmacy, Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Port Family Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2263239) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port Family Pharmacy, Inc. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 15 other insurers list Port Family Pharmacy, 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 Port Family Pharmacy, Inc. was last updated on May 9, 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.