DR. BENJAMIN DAVID KLUGE (NPI# 1477097269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097269 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN DAVID KLUGE |
| Credential | PHARMD, MBA |
| Practice Address |
11111 W Burleigh Rd Wauwatosa WI 53222 |
| Mailing Address |
11111 W Burleigh St Wauwatosa WI 53222-3211 |
| Practice Telephone | 4142900910 |
| Mailing Telephone | 4142900910 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18692-40 | WI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PHARMACIST LICENSE | 18692-40 | 01 |
| Street Address |
11111 W BURLEIGH RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| 1851787501 | Starlitha Yadav | Massage Therapist | 2949 N. Mayfair Rd. Ste 300, Wauwatosa, WI 53222 | 2015-04-09 |
| Find all providers in zip 53222 | ||||
| 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 |
|---|---|---|---|---|
| 1932719804 | Lauren M Splawn | Pharmacist | 8361 Portland Ave Uppr Unit, Wauwatosa, WI 53213-3017 | 2020-08-05 |
| 1811527476 | Sara Elizabeth Baker | Pharmacist | 1055 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-3436 | 2020-01-23 |
| 1376944405 | Max Grider | Pharmacist | 6100 W State St Apt 518, Wauwatosa, WI 53213-4603 | 2014-09-08 |
| 1124391800 | Timothy Galinsky | Pharmacist | 2275a N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2012-02-11 |
| 1689951147 | Robert Leo Dohnal | Pharmacist | 11324 W Potter Rd, Wauwatosa, WI 53226-3407 | 2011-11-12 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| 1407136948 | Paul Schlondrop | Pharmacist | 2656 Wauwatosa Ave, Wauwatosa, WI 53213-1137 | 2011-08-27 |
| 1699374066 | Cassandra Leightner | Pharmacist | 201 N Mayfair Rd, Infusion Pharmacy - 1st Floor, Wauwatosa, WI 53226 | 2020-10-18 |
| 1013515758 | Demi Chae | Pharmacist | 2656 N Wauwatosa Ave, Wauwatosa, WI 53213-1137 | 2020-10-14 |
| 1043817414 | Jane Elizabeth Obradovich | Pharmacist | 10800 W Capitol Dr, Wauwatosa, WI 53222-1109 | 2020-10-07 |
| Find all providers in WAUWATOSA | ||||
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| 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.