Service Drugs

Primary specialty

PharmacyTaxonomy code 333600000X

License

5463042 Issued in WI

Legal business name

SERVICE DRUGS

Practice address

130 W Cook
Portage, WI 53901-2104

Phone

(608) 742-2808

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Robert James Hebl, RPH

Title

Pharmacist Owner

Phone

(608) 742-2808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1114070836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W COOK",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012104",
            "telephone_number": "608-742-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W COOK",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012104",
            "telephone_number": "608-742-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "HEBL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "608-742-2808",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "5463042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33111200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley K Schnee, MD
• Rebecca Lynn Schomin, MOT
• Ethan Schultz, DPT
• Jonathan J Schulz, MSE
• Lori A Schumann, PT
• Seubert Family Dentistry, LLC
• Jan L Seubert, DDS
• Mitchell Seubert, D.D.S.
• Sara B Shaver, LMFT
• Kali L Shepard, OTR

• Pharmacy in Portage, WI
• Providers in Portage, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.