ALTCARE HEALTH SERVICES INC NPI 1700268901

NPI Information

NPI: 1700268901
Provider Name: ALTCARE HEALTH SERVICES INC

Doing Business As: ALTSCRIPTS SPECIALTY PHARMACY

Classification: Home Infusion - 251F00000X
Entity Type: Organization

Address:
1636 MILLER PARK WAY
WEST MILWAUKEE, WI
ZIP 53214
Phone: (414) 385-9500
Get Directions

ALTCARE HEALTH SERVICES INC is a home infusion in West Milwaukee, WI. ALTCARE HEALTH SERVICES INC NPI is 1700268901. The provider is registered as an organization entity type.
The provider Is Doing Business As Altscripts Specialty Pharmacy.

The provider's business location address is:

1636 MILLER PARK WAY
WEST MILWAUKEE, WI
ZIP 53214-604
Phone: (414) 385-9500
Fax: (414) 385-7200

The provider's authorized official is Maged Gindi .
The authorized official title is Ceo and has the following contact phone number (626) 962-1061.

The CLIA number assigned to this NPI record is 52D2273449 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy				No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	9330-42	WISCONSIN	No
3	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
4	251F00000X	Home Infusion				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2152725	OTHER		PK
2	100046600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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