Cedar Lake Pharmacy
Cedar Lake Pharmacy is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in West Bend, WI, holding Type 2 (organization) NPI 1881711935 since 2007. The authorized official on file is Chris Cherney, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881711935 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cedar Lake Pharmacy |
| Other name | <Unavail> |
| Practice address | 5595 COUNTY ROAD Z, West Bend, WI, 53095 |
| Phone | 2623062117 |
| Fax | 2623062126 |
| Enumeration date | 2007-03-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Chris Cherney |
|---|---|
| Title | Cfo |
| Phone | 2623064212 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | 5115503 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20125800 | Medicaid | WI | — |
Copy-ready billing details
Provider: Cedar Lake Pharmacy NPI: 1881711935 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 5595 COUNTY ROAD Z, West Bend, WI, 53095
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194720789 | Michael Brodzeller | Individual | Physical Therapist | West Bend, WI |
| 1811997695 | Benevolent Corporation Cedar Community | Organization | Skilled Nursing Facility | West Bend, WI |
| 1154321602 | Benevolent Corporation Cedar Community | Organization | Pharmacy | West Bend, WI |
| 1811917354 | Janice De Smidt | Individual | Speech-Language Pathologist | West Bend, WI |
| 1235147034 | Aurora Medical Group, Inc. | Organization | Durable Medical Equipment & Medical Supplies | West Bend, WI |
| 1093827305 | Jennifer Thill | Individual | Physical Therapist | West Bend, WI |
| 1770679870 | Rosemary Schrauth | Individual | Occupational Therapist | West Bend, WI |
| 1376625103 | Charles Sammis | Individual | Family Medicine Physician | West Bend, WI |
Verify this record
Cross-check NPI 1881711935 against the authoritative CMS record: view Cedar Lake Pharmacy on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Cedar Lake Pharmacy located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.