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PRUNELLA PHARMACY LLC
NPI 1831073022
Pharmacy - Community/Retail Pharmacy in Brookfield, WI

Active since August 01, 2025CLIA 52D2337795 · Waiver
17135 W CAPITOL DR, STE 110, BROOKFIELD, WI 53005(262) 420-9525(414) 296-8456 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prunella Pharmacy Llc NPPES

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

PRUNELLA PHARMACY LLC (NPI 1831073022), doing business as Prunella Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Brookfield, Wisconsin and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Fatma Saad, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1831073022
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRUNELLA PHARMACY LLC
Location Address17135 W CAPITOL DR, STE 110Brookfield, WI 53005
Mailing Address17135 W Capitol Drive, Suite 110Brookfield, WI 53005 · (262) 777-6911 · Fax (262) 777-6910
Phone(262) 420-9525
Fax(414) 296-8456
Organization SubpartNo
Authorized OfficialFatma SaadPharmacy Manager · (262) 420-9525
Enumeration DateAugust 1, 2025
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1831073022 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.
17135 W CAPITOL DR, Brookfield, WI 53005
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Other Names 1

Doing Business AsPrunella Pharmacy

Other Identifiers 1

Other10157-42WI · State Pharmacy License

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 52D2337795

Prunella Pharmacy · Brookfield, WI
Active · expires Jan 28, 2028
CLIA Number52D2337795
Laboratory TypePharmacy
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorSalem Isawi
Laboratory Phone(262) 777-6911
Laboratory LocationPrunella Pharmacy17135 W Capital Dr Ste 110, Brookfield, WI 53005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prunella Pharmacy LLC's NPI number?

The NPI number for Prunella Pharmacy LLC is 1831073022. It was assigned to this organization in the NPPES registry on August 1, 2025. The provider is doing business as Prunella Pharmacy.

Where is Prunella Pharmacy LLC located?

Prunella Pharmacy LLC is located at 17135 W Capitol Dr Ste 110, Brookfield, WI 53005. The listed phone number is (262) 420-9525.

What is Prunella Pharmacy LLC's specialty?

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

Does Prunella Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2337795) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prunella Pharmacy LLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.