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NORTH SHORE PHARMACY
NPI 1730282880
Pharmacy - Community/Retail Pharmacy in Cedarburg, WI

Active since September 06, 2006CLIA 52D0955339 · Waiver
N54W6135 MILL ST, STE 300, CEDARBURG, WI 53012(262) 375-0010(262) 375-0080 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2023, Nov 8, 2022, Sep 16, 2016 and 3 more (6 updates tracked since 2016).

About North Shore Pharmacy NPPES

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

NORTH SHORE PHARMACY (NPI 1730282880) is a healthcare organization registered as a community/retail pharmacy in Cedarburg, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Kyle Beyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1730282880
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCEDARBURG PRESCRIPTION CENTER INC
Location AddressN54W6135 MILL ST, STE 300Cedarburg, WI 53012-2021
Mailing AddressN54w6135 Mill St, Ste 300Cedarburg, WI 53012-2021 · (262) 375-0010 · Fax (262) 375-0080
Phone(262) 375-0010
Fax(262) 375-0080
Organization SubpartNo
Authorized OfficialKyle BeyerOwner · (414) 232-4103
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMarch 20, 20236 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1730282880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses✔ Licensed in FL · PH29535✔ Licensed in KS · 22-44771✔ Licensed in WI · 7808-42
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 · License 054.018973 (IL)
N54W6135 MILL ST, Cedarburg, WI 53012
Open in Google Maps ↗

Other Names 2

Doing Business AsNorth Shore Pharmacy
Doing Business AsYe Olde Pharmacy And Wellness Center

Other Identifiers 2

Other2108915Pk
Medicaid33233800WI

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0955339

North Shore Pharmacy & Compounding Center · Cedarburg, WI
Active · expires Dec 27, 2026
CLIA Number52D0955339
Laboratory TypePharmacy
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorMaureen Mcguire
Laboratory Phone(262) 375-0010
Laboratory LocationNorth Shore Pharmacy & Compounding CenterN54 W6135 Mill St Ste 300, Cedarburg, WI 53012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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 pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
174 services143 patients
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.
170 services169 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.
150 services150 patients

Other Providers at the Same Location NPPES 8

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

DR. M THOMAS CHEMOTTI M.D.
Ophthalmology
N54W6135 MILL ST
CEDARBURG, WI 53012
Ozaukee County (262) 377-8118
SALVADOR V. DEL ROSARIO,M.D., S.C.
Internal Medicine
N54W6135 MILL ST, SUITE 600
CEDARBURG, WI 53012
Ozaukee County (262) 375-1130
DR. STEPHANIE ENGEBRETSON OD
Optometrist
N54W6135 MILL ST
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412
DANIEL C GARCIA DDS LLC
Dentist
N54W6135 MILL ST, SUITE 900
CEDARBURG, WI 53012
Ozaukee County (262) 375-8888
NORTH SHORE EYE HEALTH AND WELLNESS, SC
Optometrist
N54W6135 MILL ST, SUITE 700
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412
JOHN RICHARD JANKOWSKI R.PH.
Pharmacist
N54W6135 MILL ST, SUITE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
SUSAN ELAINE MIAZGA RPH
Pharmacist
N54W6135 MILL ST, STE 300
CEDARBURG, WI 53012
Ozaukee County (262) 375-0010
DR. KYLE D ROSS O.D.
Optometrist
N54W6135 MILL ST, SUITE 700
CEDARBURG, WI 53012
Ozaukee County (262) 421-4412

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 Cedarburg Prescription Center Inc's NPI number?

The NPI number for Cedarburg Prescription Center Inc is 1730282880. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as North Shore Pharmacy and Ye Olde Pharmacy And Wellness Center.

Where is Cedarburg Prescription Center Inc located?

Cedarburg Prescription Center Inc is located at N54w6135 Mill St Ste 300, Cedarburg, WI 53012. The listed phone number is (262) 375-0010.

What is Cedarburg Prescription Center Inc's specialty?

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

Does Cedarburg Prescription Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0955339) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cedarburg Prescription Center 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 Cedarburg Prescription Center 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 Cedarburg Prescription Center Inc was last updated on March 20, 2023. 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.