MR. THOMAS JOHN BRADACH (NPI# 1619162922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619162922 |
Entity Type | Individual |
Full Name | MR. THOMAS JOHN BRADACH |
Credential | RPH |
Practice Address |
6118 W Bluemound Rd Milwaukee WI 53213-4143 |
Practice Telephone | 4147715606 |
Practice Fax Number | 4147742987 |
Mailing Telephone | 4147715606 |
Mailing Fax Number | 4147742987 |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 8961040 | WI | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | STATE LICENSE NUMBER | 8961040 | 01 |
Street Address |
6118 W BLUEMOUND RD |
City | MILWAUKEE |
State | WI |
Zip Code | 53213-4143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093875569 | Wisconsin Health Fund | Pharmacist | 6118 W Bluemound Rd, Milwaukee, WI 53213-4143 | 2006-12-12 |
1194009183 | Maureen Nash Augustine | Pharmacist | 6118 W Bluemound Rd, Milwaukee, WI 53213-4143 | 2011-10-07 |
1518152826 | Kim L Scott | Pharmacist | 6118 W Bluemound Rd, Milwaukee, WI 53213-4143 | 2007-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
Find all providers in zip 53213 |
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 |
---|---|---|---|---|
1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
1790383420 | Lisa Goetzinger | Pharmacist | 8100 N 124th St, Milwaukee, WI 53224-3800 | 2020-10-14 |
1205440203 | Teresa Lee Luebbering | Pharmacist | 5185 S 9th St # 1, Milwaukee, WI 53221-3627 | 2020-09-07 |
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1649889767 | Sarah Sugden | Pharmacist | 1726 N 1st St Apt 103, Milwaukee, WI 53212-3907 | 2020-07-24 |
1639796808 | Devin Noelle Valpatic | Pharmacist | 2900 W Oklahoma Ave # 1001, Milwaukee, WI 53215-4330 | 2020-07-02 |
1588289813 | Ahmed Gamal Abou Mohamed | Pharmacist | 11011 W North Ave Apt 255, Milwaukee, WI 53226-2267 | 2020-06-12 |
1801415500 | Elena Maloletko | Pharmacist | 2611 N Stowell Ave Apt E, Milwaukee, WI 53211-4222 | 2020-04-13 |
1649807801 | Stacy Anne Doyle | Pharmacist | 875 E Wisconsin Ave # Ms -2870, Milwaukee, WI 53202-5404 | 2020-03-26 |
1679108997 | Andrew Budzynski | Pharmacist | 2500 W Layton Ave Ste 150, Milwaukee, WI 53221-5421 | 2020-03-06 |
Find all providers in MILWAUKEE |
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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.