MR. ROBERT BRUCE HARLEY JR. (NPI# 1265714554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265714554 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BRUCE HARLEY JR. |
| Credential | RPH |
| Practice Address |
603 W Pine St Baraboo WI 53913-1040 |
| Practice Telephone | 6083561171 |
| Practice Fax Number | 6083560981 |
| Mailing Telephone | 6083561171 |
| Mailing Fax Number | 6083560981 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12310-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1588794481 | Robert Harley | Dentist | 10055 N Portal Ave Ste 130, Cupertino, CA 95014-2371 | 2007-03-07 |
| 1508091463 | Robert L Harley | Social Worker | 100 Stevens Ave, Mount Vernon, NY 10550-2600 | 2009-05-21 |
| 1609887207 | Robert Stephen Harley | Orthopaedic Surgery | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303 | 2006-08-10 |
| 1164446001 | Robert Edwin Harley | Otolaryngology | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2006-07-26 |
| Street Address |
603 W PINE ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376558270 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 603 W Pine St, Baraboo, WI 53913-1040 | 2006-07-29 |
| 1831470392 | Terese Marie Lemke | Pharmacist | 603 W Pine St, Baraboo, WI 53913-1040 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777048 | Sajani Malavia | Pharmacist | 920 State Road 136, Baraboo, WI 53913-9254 | 2020-10-16 |
| 1548868441 | Ashley Deblois | Pharmacist | 920 State Road 136, Baraboo, WI 53913-9254 | 2020-10-13 |
| 1811507098 | Karissa Leigh Fritsch | Pharmacist | 522 Oak St, Baraboo, WI 53913-2424 | 2020-08-03 |
| 1548754526 | Paul Jest | Pharmacist | 707 14th St, Baraboo, WI 53913-1539 | 2018-06-21 |
| 1407378193 | Abigail Moore | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2017-07-13 |
| 1376949438 | Susan Vrabec | Pharmacist | 522 Oak St, Baraboo, WI 53913-2424 | 2014-11-17 |
| 1487997250 | Bradley R. Riesch | Pharmacist | 707 14th St, Pharmacy, Baraboo, WI 53913-1539 | 2013-03-31 |
| 1982943171 | Hussain Harun | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2013-02-07 |
| 1013254242 | Janet Fritsch | Pharmacist | 522 Oak St, Baraboo, WI 53913-2424 | 2013-01-08 |
| 1467799619 | Alana Claire Bongard | Pharmacist | 522 Oak St, Baraboo, WI 53913-2424 | 2013-01-08 |
| Find all providers in BARABOO | ||||
Please comment or provide details below to improve the information on MR. ROBERT BRUCE HARLEY JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.