Robert Labello Jr.
Individual provider Active NPI Pharmacist · Hubertus, WI
NPI 1013346535 · NPPES record last updated Nov 5, 2013
Key facts
- NPI
- 1013346535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16219-040 (WI)
- Practice address
- 1303 Highway 175
Hubertus, WI 53033-9304 - Phone
- (262) 628-3550
- Fax
- (262) 628-9205
- NPI assigned
- Nov 5, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-033514 | IL | MD | Pharmacist |
| 16219-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Pharmacy, Inc. | Past | Accepting new patients | |
| Aurora Pharmacy, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16219-040 | WI | Yes |
| Pharmacist | 183500000X | 051-033514 | IL |
Addresses
Primary practice location
1303 Highway 175
Hubertus, WI 53033-9304
Mailing address
1303 Highway 175
Hubertus, WI 53033-9304
Phone (262) 628-3550
Other providers in Hubertus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.