MAZORAN LLC
NPI 1184389900
Pharmacy - Community/Retail Pharmacy in Shorewood, WI

Active since November 05, 2021
3512 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 372-0700(414) 372-0777 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2022, Dec 13, 2021, Nov 20, 2021 and 1 more (4 updates tracked since 2021).

About Mazoran Llc NPPES

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

MAZORAN LLC (NPI 1184389900), doing business as Uptown Pharmacy & Wellness, is a healthcare organization registered as a community/retail pharmacy in Shorewood, Wisconsin and active in the NPI registry since November 2021. The organization lists Mazen Seddick, Manager, as its authorized official.

NPPES Registry Identity

NPI1184389900
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMAZORAN LLC
Location Address3512 N OAKLAND AVEShorewood, WI 53211-2701
Mailing Address3512 N Oakland AveShorewood, WI 53211-2701 · (414) 372-0700 · Fax (414) 372-0777
Fax(414) 372-0777
Organization SubpartNo
Authorized OfficialMazen SeddickManager · (414) 372-0700
Enumeration DateNovember 5, 2021
Last NPPES UpdateOctober 22, 20254 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1184389900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
3512 N OAKLAND AVE, Shorewood, WI 53211

Other Names 1

Doing Business AsUptown Pharmacy & Wellness

Other Identifiers 1

Medicaid100188156WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mazoran Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by January 31, 2027

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20220106001834Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
StateWisconsinEnrollment IDO20220223002631Non-DME Part B · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Other Providers at the Same Location NPPES 3

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

Pharmacist
3512 N OAKLAND AVE
SHOREWOOD, WI 53211
Pharmacist
3512 N OAKLAND AVE
SHOREWOOD, WI 53211
Pharmacist
3512 N OAKLAND AVE
SHOREWOOD, WI 53211

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 Mazoran LLC's NPI number?

The NPI number for Mazoran LLC is 1184389900. It was assigned to this organization in the NPPES registry on November 5, 2021. The provider is doing business as Uptown Pharmacy & Wellness.

Where is Mazoran LLC located?

Mazoran LLC is located at 3512 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 372-0700.

What is Mazoran LLC's specialty?

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

Is Mazoran LLC enrolled in Medicare?

Yes. Mazoran LLC is registered in the Medicare PECOS enrollment system.

When is Mazoran LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Mazoran LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Non-DME Part B, Wisconsin, Mass Immunization (Roster Biller Only)). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Mazoran LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 48 other insurers list Mazoran LLC 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 Mazoran LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.