Russell Robert Sobotta, R.PH., MBA

Primary specialty

PharmacistTaxonomy code 183500000X

License

10276 Issued in WI

Practice address

N83W15550 Appleton Ave
Menomonee Falls, WI 53051-3714

Phone

(262) 253-5056

NPI assigned

Dec 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Registered Pharmacist

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1124614912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 W LAKE DRIVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "414-507-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N83W15550 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513714",
            "telephone_number": "262-253-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5560 W Lake Dr",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530959144",
            "country_code": "US",
            "telephone_number": "414-507-5635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBOTTA",
        "first_name": "RUSSELL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "R.PH., MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Smith, APNP
• Tabarius Smith, PHARMD
• Teresa Smith
• Whitnee Smith, LPC
• Timothy Lawrence Smykal, DC, FACO, CCSP
• Audrey Socha, PHARMD
• Manila Sodhi, MD
• Rochelle A Sohl, MD
• Deborah Lynn Sokolowski, MS, LPC, SAC-IT
• Lisa Somers, NP

• Pharmacist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.