Bret Charles Van Bogaert, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15626-40 Issued in WI

Practice address

675 South Water Street
Platteville, WI 53818-3608

Phone

(608) 348-7611

NPI assigned

Oct 20, 2011

Last updated

Oct 20, 2011By the provider in NPPES

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

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #12498

  • Pharmacy
  • Platteville, WI
  • NPI 1023271665
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1144505116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SOUTH WATER STREET",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183608",
            "telephone_number": "608-348-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SOUTH WATER STREET",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183608",
            "telephone_number": "608-348-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BOGAERT",
        "first_name": "BRET",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15626-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita M Udelhoven, M.A.
• University of Wisconsin System Non Payroll (University of Wisconsin-Platteville)
• Upland Hills Health, Inc. (Upland Hills Durable Medical Equipment)
• Upland Hills Hometown Medical Equip
• April Vaassen
• Stephen Wallace Van de Wiel
• Vannatta Chiropractic
• Mandy J Vannatta, D.C.
• Carrie Vida
• Kari Vize, MSW

• Pharmacist in Platteville, WI
• Providers in Platteville, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.