Individual provider Active NPI

Robert D Rekoske, RPH

  • Pharmacist
  • Menomonee Falls, WI
National Provider Identifier
1013222819
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9035 Issued in WI
Practice address
N78W14501 Appleton Ave
Menomonee Falls, WI 53051-4382
Phone
(262) 255-8673
Fax
(262) 255-8678
NPI assigned
Aug 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9035 WI Primary

Addresses

Primary practice location

N78W14501 Appleton Ave
Menomonee Falls, WI 53051-4382

Mailing address

W153N10356 Rogers Dr
Germantown, WI 53022-5221
Phone (262) 253-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1013222819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W153N10356 ROGERS DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225221",
            "telephone_number": "262-253-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N78W14501 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514382",
            "telephone_number": "262-255-8673",
            "fax_number": "262-255-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKOSKE",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.