Active NPI
Chad Seubert, PHARMD
- Pharmacist
- Whitefish Bay, WI
National Provider Identifier
1104451665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18454-40
- Practice address
- 240 E Hampton Rd
Whitefish Bay, WI 53217-5850 - Phone
- (414) 962-7071
- NPI assigned
- Mar 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18454-40 | WI | Primary |
Addresses
Primary practice location
240 E Hampton Rd
Whitefish Bay, WI 53217-5850
Mailing address
1546 E Monroe Ave
Hartford, WI 53027-8412
Phone (608) 317-0600
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18454-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1104451665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 E MONROE AVE",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530278412",
"telephone_number": "608-317-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E HAMPTON RD",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175850",
"telephone_number": "414-962-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEUBERT",
"first_name": "CHAD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18454-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.