ASCENSION WISCONSIN PHARMACY #502
NPI 1154894483
Pharmacy - Community/Retail Pharmacy in Mequon, WI
NPI Status: Active since January 09, 2019
Contact Information
13133 N PORT WASHINGTON RD STE G101
MEQUON, WI
ZIP 53097
Phone: (262) 243-6700
Fax: (262) 243-6701
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 52D0388660
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About ASCENSION WISCONSIN PHARMACY #502
This page provides the complete NPI Profile along with additional information for Ascension Wisconsin Pharmacy #502, a provider established in Mequon, Wisconsin operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1154894483 assigned on January 2019. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Ascension Wisconsin Pharmacy #502. The authorized official of this NPI record is Tracy Ann Rogers (Coo)
- NPI
- 1154894483
- Provider Legal Name
- ASCENSION WISCONSIN PHARMACY, INC.
- Other Organization Name
- ASCENSION WISCONSIN PHARMACY #502
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 13133 N PORT WASHINGTON RD STE G101 MEQUON, WI 53097
- Location Phone
- (262) 243-6700
- Location Fax
- (262) 243-6701
- Mailing Address
- 5000 W CHAMBERS ST RM 115 MILWAUKEE, WI 53210
- Mailing Phone
- (414) 874-1035
- Mailing Fax
- (262) 243-6701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-09-2019
- Last Update Date
- 03-15-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0388660
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. MASOUD GANJI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ascension Wisconsin Pharmacy #502 on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154894483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154894483, enumerated as an "organization" on January 09, 2019.
The provider is located at 13133 N PORT WASHINGTON RD STE G101 MEQUON, WI 53097 and the phone number is (262) 243-6700.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
