Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COMPOUNDING CENTER OF WISCONSIN, INC.
NPI 1164335055
Pharmacist - Compounded Sterile Preparations in Kenosha, WI

Q: What is Compounding Center Of Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Compounded Sterile Preparations, with taxonomy code 1835C0207X.

Active since September 23, 2026

5710 4TH AVE, KENOSHA, WI 53140(262) 476-4644 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Compounding Center Of Wisconsin, Inc. NPPES

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

COMPOUNDING CENTER OF WISCONSIN, INC. (NPI 1164335055) is a healthcare organization registered as a compounded sterile preparations in Kenosha, Wisconsin and active in the NPI registry since September 2026. The organization lists Keya Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1164335055

Entity TypeOrganization

Primary Taxonomy1835C0207X

Legal Business NameCOMPOUNDING CENTER OF WISCONSIN, INC.

Location Address5710 4TH AVEKenosha, WI 53140-4200

Mailing Address5710 4th AveKenosha, WI 53140-4200

Phone(262) 476-4644

Organization SubpartNo

Authorized OfficialKeya PatelOwner · (224) 717-9482

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1164335055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Compounded Sterile PreparationsPharmacy Service Providers

Taxonomy Code1835C0207X

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill to ensure that sterile preparations meet the clinical needs of patients, satisfying quality, safety, and environmental control requirements, regulations, and standards in all phases of preparation, storage, transportation, and administration.

5710 4TH AVE, Kenosha, WI 53140

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Compounding Center Of Wisconsin, Inc.'s NPI number?

The NPI number for Compounding Center Of Wisconsin, Inc. is 1164335055. It was assigned to this organization in the NPPES registry on September 23, 2026.

Where is Compounding Center Of Wisconsin, Inc. located?

Compounding Center Of Wisconsin, Inc. is located at 5710 4th Ave, Kenosha, WI 53140. The listed phone number is (262) 476-4644.

What is Compounding Center Of Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Compounded Sterile Preparations, with taxonomy code 1835C0207X.

When was this NPI record last updated?

The NPPES record for Compounding Center Of Wisconsin, Inc. was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.