Healthcare Provider Details

I. General information

NPI: 1881177434
Provider Name (Legal Business Name): PATRICK A BEIERMEISTER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 W LAYTON AVE STE B
MILWAUKEE WI
53221-2426
US

IV. Provider business mailing address

807 W LAYTON AVE STE B
MILWAUKEE WI
53221-2426
US

V. Phone/Fax

Practice location:
  • Phone: 414-533-2222
  • Fax: 414-533-0001
Mailing address:
  • Phone: 414-533-2222
  • Fax: 414-533-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19392-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: