Mixlab Wi, LLC is a Pharmacy (organization) practicing in Milwaukee, Wisconsin. The National Provider Identifier (NPI) is #1932925633, which was assigned on November 26, 2024, and the registration record was last updated on November 26, 2024. The practitioner's main practice location is at 407 W Silver Spring Dr, Milwaukee, WI 53217-5048; the contact telephone number is 8889014480, and the fax number is 2129670892. The primary taxonomy of Mixlab Wi, LLC is Pharmacy (333600000X). The authorized official for Mixlab Wi, LLC is Vinnie Dam (Chief Pharmacy Officer).
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
| NPI | 1932925633 |
| Entity Type | Organization |
| Organization Name | MIXLAB WI, LLC |
| Provider Name | MIXLAB WI, LLC |
| Practice Address |
407 W Silver Spring Dr Milwaukee WI 53217-5048 |
| Practice Telephone | 8889014480 |
| Practice Fax Number | 2129670892 |
| Mailing Address |
407 W Silver Spring Dr Milwaukee WI 53217-5048 |
| Mailing Telephone | 8889014480 |
| Mailing Fax Number | 2129670892 |
| Certification Date | 2024-11-26 |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | MIXLAB, INC. |
| Official Name | VINNIE DAM |
| Official Title | CHIEF PHARMACY OFFICER |
| Credential | PHARMD, MS |
| Telephone | 3476109820 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy |
| Code | 333600000X |
| Taxonomy | Pharmacy |
| Classification | Pharmacy |
| Grouping | Suppliers |
| Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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|---|---|---|---|
| Vsrx | 905 S A St Ste 2, Oxnard, CA 93030-9254 | Pharmacy | 2025-01-10 |
| S and J Drug Company, LLC | 102 W Hamlet St, Pinetops, NC 27864-8847 | Pharmacy | 2025-01-07 |
| Gulf Health Hospitals, Inc. | 29487 State Highway 181, Daphne, AL 36526-6581 | Pharmacy | 2025-01-10 |
| Nordahl Rx, Inc. | 740 Nordahl Rd Ste 120, San Marcos, CA 92069-3545 | Pharmacy | 2025-01-09 |
| University Health Pharmacy | 2392 University Ave, Riverside, CA 92507-4266 | Pharmacy | 2025-01-10 |
| North Platte Nebraska Hospital Corporation | 601 W Leota St Ste 100, North Platte, NE 69101-6525 | Pharmacy | 2025-01-10 |
| Innominds LLC | 1215 E Washington Ave, Union Gap, WA 98903-1669 | Pharmacy | 2025-01-06 |
| North East Medical Services | 939 Story Rd, San Jose, CA 95122-2688 | Pharmacy | 2025-01-09 |
| Vy Tran Inc | 2510 N Front St, Philadelphia, PA 19133-4004 | Pharmacy | 2025-01-02 |
| Gia Medix LLC | 2112 Street Rd, Bensalem, PA 19020-3757 | Pharmacy | 2025-01-03 |
| Find all providers with the same taxonomy | |||
| Street Address |
407 W SILVER SPRING DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53217-5048 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| The Pet Apothecary | 407 W Silver Spring Dr, Milwaukee, WI 53217-5048 | Community/Retail Pharmacy | 2023-05-10 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lowell John Timm | 5800 N Bayshore Dr, South Offices, Suite B204, Glendale, WI 53217 | Clinical Social Worker | 2007-05-15 |
| Miriah Ann King, Ms, Lpc | 7805 North Boyd Way, Fox Point, WI 53217 | Professional Counselor | 2017-05-08 |
| North Lakes Nursing Home Health Care Agency LLC | 225 E Fairmount Ave, Milwaukee, WI 53217 | Home Health Agency | 2018-06-20 |
| Jasmine Dockery | 5400 N Port Washington, Glendale, WI 53217 | Pharmacist | 2020-02-23 |
| Jill Marie Repinski · Jill Marie Mayer | 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 | Physical Therapist | 2007-04-06 |
| Exodus Counseling Center, Inc. | 5800 North Bayshore Drive, Suite B 204, Glendale, WI 53217 | Mental Health Counselor | 2007-04-26 |
| Sondra Lynn Schulz · Sondra Lynn Rosenberg | 7545 N. Port Washington Rd., Glendale, WI 53217 | Occupational Therapy Assistant | 2017-03-17 |
| Juliana M Shah · Juliana M Pike | 7080 N Port Washington Road, Glendale, WI 53217 | Primary Care Nurse Practitioner | 2015-12-22 |
| Mary Catherine Enderlin | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | Clinical Psychologist | 2007-06-06 |
| Edward Kartheiser | 5800 N. Bayshore Drive, Suite B, Glendale, WI 53217 | Professional Counselor | 2007-03-19 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mixlab, Inc. | 3880 N 28th Ter, Hollywood, FL 33020-1118 | Pharmacy | 2023-06-30 |
| Mixlab, Inc. | 336 W 37th St Rm 850, New York, NY 10018-4280 | Pharmacy | 2017-09-20 |
| Mixlab, Inc. | 2223 Federal Ave, Los Angeles, CA 90064-1403 | Pharmacy | 2020-03-25 |
| Mixlab Tx, LLC | 953 Hilltop Dr, Weatherford, TX 76086-8811 | Pharmacy | 2024-04-26 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |