Active NPI
Craig John Borgardt, RPH
- Pharmacist
- Racine, WI
National Provider Identifier
1174930358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R9373
- Practice address
- 6520 Hidden Creek Rd
Racine, WI 53402-9403 - Phone
- (262) 681-2221
- NPI assigned
- Jul 19, 2014
- 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 | R9373 | WI | Primary |
Addresses
Primary practice location
6520 Hidden Creek Rd
Racine, WI 53402-9403
Mailing address
6520 Hidden Creek Rd
Racine, WI 53402-9403
Phone (262) 681-2221
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9373 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405728000000",
"number": "1174930358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 HIDDEN CREEK RD",
"city": "RACINE",
"state": "WI",
"postal_code": "534029403",
"telephone_number": "262-681-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 HIDDEN CREEK RD",
"city": "RACINE",
"state": "WI",
"postal_code": "534029403",
"telephone_number": "262-681-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGARDT",
"first_name": "CRAIG",
"middle_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-19",
"last_updated": "2014-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "R9373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.