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DBA SWAN SERV - U PHARMACY
NPI 1962564583
Pharmacy - Community/Retail Pharmacy in Wauwatosa, WI

Active since December 14, 2006CLIA 52D2185075 · Waiver
9130 W NORTH AVE, WAUWATOSA, WI 53226(414) 258-9550(414) 258-1088 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dba Swan Serv - U Pharmacy NPPES

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

DBA SWAN SERV - U PHARMACY (NPI 1962564583) is a healthcare organization registered as a community/retail pharmacy in Wauwatosa, Wisconsin and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Timothy James Walsh, President, as its authorized official.

NPPES Registry Identity

NPI1962564583
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHAYWARD PHARMACY INC.
Location Address9130 W NORTH AVEWauwatosa, WI 53226-2623
Mailing Address9130 W. North AveWauwatosa, WI 53226-2696 · (414) 258-9550 · Fax (414) 258-1088
Phone(414) 258-9550
Fax(414) 258-1088
Organization SubpartYesParent: Hayward Pharmacy Inc Dba Swan Serv U Pharm
Authorized OfficialTimothy James WalshPresident · (414) 640-7129
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1962564583 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 WI · 5343-42✔ Licensed in WI · 5343
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
9130 W NORTH AVE, Wauwatosa, WI 53226
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Other Names 1

Doing Business AsDba Swan Serv - U Pharmacy

Other Identifiers 3

Other5103205Other Id Number
Medicare NSC0791100001
Medicaid33139800WI

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 52D2185075

Hayward Pharmacy Inc Dba Swan Serv-U Pharmacy · Wauwatosa, WI
Active · expires May 28, 2028
CLIA Number52D2185075
Laboratory TypePharmacy
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorMr. Adam J. Pistiner
Laboratory Phone(414) 258-9550
Laboratory LocationHayward Pharmacy Inc Dba Swan Serv-U Pharmacy9130 W North Ave, Wauwatosa, WI 53226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
268 services267 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.
222 services222 patients

Other Providers at the Same Location NPPES

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

JUDITH ANN DOYLE RPH
Pharmacist
9130 W NORTH AVE
WAUWATOSA, WI 53226
Milwaukee County (414) 258-9550

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 Hayward Pharmacy Inc.'s NPI number?

The NPI number for Hayward Pharmacy Inc. is 1962564583. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Dba Swan Serv - U Pharmacy.

Where is Hayward Pharmacy Inc. located?

Hayward Pharmacy Inc. is located at 9130 W North Ave, Wauwatosa, WI 53226. The listed phone number is (414) 258-9550.

What is Hayward Pharmacy Inc.'s specialty?

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

Does Hayward Pharmacy Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2185075) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hayward Pharmacy 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 Hayward Pharmacy 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 Hayward Pharmacy Inc. was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.