RELIABLE PHARMACY OF WISCONSIN
NPI 1336653674
Pharmacy - Community/Retail Pharmacy in Kenosha, WI

Active since November 22, 2017
10105 74TH ST STE 102, KENOSHA, WI 53142(262) 909-5685(262) 925-8409 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, Apr 17, 2018, Nov 22, 2017 (3 updates tracked since 2017).

About Reliable Pharmacy Of Wisconsin NPPES

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

RELIABLE PHARMACY OF WISCONSIN (NPI 1336653674) is a healthcare organization registered as a community/retail pharmacy in Kenosha, Wisconsin and active in the NPI registry since November 2017. The organization lists Cynthia Cernak, Owner, as its authorized official.

NPPES Registry Identity

NPI1336653674
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRELIABLE PHARMACY OF WISCONSIN LLC
Location Address10105 74TH ST STE 102Kenosha, WI 53142-7519
Mailing Address10105 74th St, Suite 102Kenosha, WI 53142-7519 · (262) 909-5685 · Fax (262) 925-8409
Fax(262) 925-8409
Organization SubpartNo
Authorized OfficialCynthia CernakOwner · (262) 565-6353
Enumeration DateNovember 22, 2017
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
NPI 1336653674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WI · 9488-42
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.
Also ListedPharmacyTaxonomy 333600000X
10105 74TH ST STE 102, Kenosha, WI 53142

Other Names 1

Doing Business AsReliable Pharmacy Of Wisconsin

Other Identifiers 2

Medicaid100073905WI
Other2172877Pk

Other Providers at the Same Location NPPES 4

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

Anesthesiology
10105 74TH ST STE 102
KENOSHA, WI 53142
Clinic/Center (Ambulatory Surgical)
10105 74TH ST STE 102
KENOSHA, WI 53142
Non-Pharmacy Dispensing Site
10105 74TH ST STE 102
KENOSHA, WI 53142
Clinic/Center (Ambulatory Surgical)
10105 74TH ST STE 102
KENOSHA, WI 53142

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 Reliable Pharmacy Of Wisconsin LLC's NPI number?

The NPI number for Reliable Pharmacy Of Wisconsin LLC is 1336653674. It was assigned to this organization in the NPPES registry on November 22, 2017. The provider is doing business as Reliable Pharmacy Of Wisconsin.

Where is Reliable Pharmacy Of Wisconsin LLC located?

Reliable Pharmacy Of Wisconsin LLC is located at 10105 74th St Ste 102, Kenosha, WI 53142. The listed phone number is (262) 909-5685.

What is Reliable Pharmacy Of Wisconsin LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Reliable Pharmacy Of Wisconsin LLC was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.