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PROHEALTH PHARMACY - OCONOMOWOC
NPI 1497942205
Pharmacy - Community/Retail Pharmacy in Oconomowoc, WI

Active since September 26, 2007
791 SUMMIT AVE STE 1106, OCONOMOWOC, WI 53066(262) 569-0284(262) 569-0539 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2022, Jun 20, 2016 (2 updates tracked since 2016).

About Prohealth Pharmacy - Oconomowoc NPPES

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

PROHEALTH PHARMACY - OCONOMOWOC (NPI 1497942205) is a healthcare organization registered as a community/retail pharmacy in Oconomowoc, Wisconsin and active in the NPI registry since September 2007. The organization lists Thomas Johnson, Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1497942205
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.
Location Address791 SUMMIT AVE STE 1106Oconomowoc, WI 53066-3844
Mailing Address791 Summit AveOconomowoc, WI 53066-3844 · (262) 569-0284 · Fax (262) 569-0539
Phone(262) 569-0284
Fax(262) 569-0539
Organization SubpartNo
Authorized OfficialThomas JohnsonReimbursement Manager · (262) 928-4704
Enumeration DateSeptember 26, 2007
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1497942205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8772
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.
791 SUMMIT AVE STE 1106, Oconomowoc, WI 53066
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Other Names 1

Doing Business AsProhealth Pharmacy - Oconomowoc

Other Identifiers 1

Other2111058Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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.
12 services12 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
11 services11 patients

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 Prohealth Oconomowoc Memorial Hospital, Inc.'s NPI number?

The NPI number for Prohealth Oconomowoc Memorial Hospital, Inc. is 1497942205. It was assigned to this organization in the NPPES registry on September 26, 2007. The provider is doing business as Prohealth Pharmacy - Oconomowoc.

Where is Prohealth Oconomowoc Memorial Hospital, Inc. located?

Prohealth Oconomowoc Memorial Hospital, Inc. is located at 791 Summit Ave Ste 1106, Oconomowoc, WI 53066. The listed phone number is (262) 569-0284.

What is Prohealth Oconomowoc Memorial Hospital, Inc.'s specialty?

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

What insurance does Prohealth Oconomowoc Memorial Hospital, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Prohealth Oconomowoc Memorial Hospital, Inc. 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 Prohealth Oconomowoc Memorial Hospital, Inc. was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.