Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

13th Street Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1679835326

13th Street Pharmacy LLC is a Community/Retail Pharmacy in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 W Burnham St
Milwaukee, WI 53204-3248
Phone: (414) 383-4111
Fax: (414) 383-2248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 9131-42 (WI)

Record details

NPI number1679835326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russel Shtivelberg — Member · (414) 324-9393
Other names 13th Street Pharmacy Llc
NPI enumeratedJune 8, 2012
Last updated in NPPESDecember 3, 2014
Mailing address1320 W Burnham St, Milwaukee, WI 53204-3248

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