MLK HERITAGE HEALTH CENTER
NPI 1316980709
Pharmacy in Milwaukee, WI
NPI Status: Active since June 14, 2006
Contact Information
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212
Phone: (414) 267-2021
Fax: (414) 372-7420
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 52D0681642
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 11-26-2027
About MLK HERITAGE HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Mlk Heritage Health Center, a provider established in Milwaukee, Wisconsin operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1316980709 assigned on June 2006. The practitioner's primary taxonomy code is 333600000X with license number 8681-42 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Mlk Heritage Health Center. The authorized official of this NPI record is Dr. Tito L Izard M.d. (President Ceo)
- NPI
- 1316980709
- Provider Legal Name
- MILWAUKEE HEALTH SERVICES, INC.
- Other Organization Name
- MLK HERITAGE HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212
- Location Phone
- (414) 267-2021
- Location Fax
- (414) 372-7420
- Mailing Address
- 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212
- Mailing Phone
- (414) 267-2021
- Mailing Fax
- (414) 372-7420
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 04-05-2016
- 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
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 8681-42
- License State
- WI
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5107669 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
| 000002690 | MEDICARE PIN (08) | WI | |
| 32958200 | MEDICAID (05) | WI |
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
- 52D0681642
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 27, 2025
- Certificate Expiration Date
- November 26, 2027
- Laboratory Director
- DR. ARONICA V. WILLIAMS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mlk Heritage Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1316980709, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316980709, enumerated as an "organization" on June 14, 2006.
The provider is located at 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 and the phone number is (414) 267-2021.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
