Mixlab Wi, LLC
NPI 1932925633ActiveOrganization· Pharmacy· Milwaukee, WI
Pharmacy in Milwaukee, Wisconsin, registered in NPPES in November 2024, part of Mixlab, Inc. The authorized official on file is Vinnie Dam, PHARMD, MS, Chief Pharmacy Officer.
Overview
| NPI | 1932925633 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mixlab, Inc. |
| NPI issued | Nov 26, 2024 |
| Last updated in NPPES | Nov 26, 2024 |
| Certified by provider | Nov 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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