Active NPI
Dustin Daniel Thumann, PHARMD
- Pharmacist
- West Bend, WI
National Provider Identifier
1255964060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20095-40
- Practice address
- 1720 W Washington St
West Bend, WI 53095-2311 - Phone
- (262) 438-1120
- Fax
- (262) 438-1126
- NPI assigned
- Feb 20, 2020
- Last updated
- Jul 2, 2022
- 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 | 20095-40 | WI | Primary |
Addresses
Primary practice location
1720 W Washington St
West Bend, WI 53095-2311
Mailing address
W62N190 Washington Ave
Cedarburg, WI 53012-2779
Phone (262) 375-3039
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 |
|---|---|---|---|
| 20095-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
W62N190 Washington Ave
Cedarburg, WI 53012
Phone (262) 375-3039
1720 W Washington St
West Bend, WI 53095
Phone (262) 438-1120
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656720000000",
"number": "1255964060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W62N190 WASHINGTON AVE",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530122779",
"telephone_number": "262-375-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 W WASHINGTON ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530952311",
"telephone_number": "262-438-1120",
"fax_number": "262-438-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUMANN",
"first_name": "DUSTIN",
"middle_name": "DANIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2022-07-02",
"certification_date": "2022-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20095-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.