OrganizationActive
Whitefish Bay Prescription Center Ltd
NPI 1790793446 · Community/Retail Pharmacy · Glendale, WI
Provider details
- NPI number
- 1790793446
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Waclawski, President(414) 963-0811
- License
- 8527 (WI)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5320 N Port Washington Rd
Glendale, WI 53217
Phone: (414) 963-0811
Fax: (414) 963-0830
Street-level locationGet directions
Mailing address
5320 N Port Washington Rd
Glendale, WI 53217
Other names (DBA / former)
- Doing business as
- Ye Olde Pharmacy
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2008-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.