DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VIVENT PHARMACY LLC

MEDICARE: VIVENT PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy9049-42WI
2333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12128078OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760784086
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIVENT PHARMACY LLC
Provider Business Mailing Address
First Line : 1311 N 6TH ST STE 201
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-4006
Country : US
Telephone Number :
Fax Number : 833-368-1247
Provider Business Practice Location Address
First Line : 1311 N 6TH ST STE 101
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-4006
Country : US
Telephone Number : 888-393-0351
Fax Number : 833-368-1247
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : TONY FIELDS
Credential : PHARMD
Telephone Number : 414-223-6874
Provider Enumeration Date : 11/18/2010
Last Update Date : 05/02/2024

Similar Medicare Providers

1326272162 — DR. LESLIE RENEE COCKERHAM M.D.
Practice Location Address:
1311 N 6TH ST
MILWAUKEE, WI
53212-4006
Practice Phone: 414-223-6800
Practice Fax: 414-273-2357
1982654091 — VIVENT HEALTH INC
Practice Location Address:
1311 N 6TH ST
MILWAUKEE, WI
53212-4006
Practice Phone: 414-223-6800
Practice Fax: 414-273-2357
1720262504 — NICOLE LENTZ PHARMD
Practice Location Address:
1311 N 6TH ST
MILWAUKEE, WI
53212-4006
Practice Phone: 414-225-1535
Practice Fax:
1770721607 — VIVENT HEALTH INC
Practice Location Address:
1311 N 6TH ST
MILWAUKEE, WI
53212-4006
Practice Phone: 414-223-6800
Practice Fax: 414-273-2357
1215175146 — VIVENT HEALTH INC
Practice Location Address:
1311 N 6TH ST
MILWAUKEE, WI
53212-4006
Practice Phone: 414-223-6800
Practice Fax: 414-273-2357
1467063974 — DR. DANIEL TESSMANN DDS
Practice Location Address:
1311 N 6TH ST
MILWAUKEE, WI
53212-4006
Practice Phone: 414-223-6800
Practice Fax:

Directions to “VIVENT PHARMACY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.