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13th Street Pharmacy LLC

Community/Retail Pharmacy in Milwaukee, WI · enumerated 2012 · authorized official Russel Shtivelberg, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679835326

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Registry record

Entity type Organization (Type 2)
Legal business name 13th Street Pharmacy LLC
Other name <Unavail>
Practice address 1320 W Burnham St, Milwaukee, WI, 53204
Fax (414) 383-2248
Enumeration date Jun 8, 2012
Last updated in NPPES Dec 3, 2014

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 9131-42 (WI) Primary

Authorized official

Name Russel Shtivelberg
Title Member

Other identifiers

Identifier Type State Issuer
100023902 Medicaid WI -
2135508 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is 13th Street Pharmacy LLC located?
The practice location on file with NPPES is in Milwaukee, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-03. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-03.