Active NPI
Roger J Hargreaves Jr.
- Pharmacist
- Sussex, WI
National Provider Identifier
1265715437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13107
- Practice address
- W227N6103 Sussex Rd
Sussex, WI 53089-3969 - Phone
- (414) 566-8005
- Fax
- (414) 566-8015
- NPI assigned
- Sep 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 13107 | WI | Primary |
Addresses
Primary practice location
W227N6103 Sussex Rd
Sussex, WI 53089-3969
Mailing address
W290N7396 Bark River CT
Hartland, WI 53029-8339
Phone (262) 894-7753
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13107 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wales, WI
- NPI 1578891404
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1265715437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W290N7396 BARK RIVER CT",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530298339",
"telephone_number": "262-894-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W227N6103 SUSSEX RD",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893969",
"telephone_number": "414-566-8005",
"fax_number": "414-566-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGREAVES",
"first_name": "ROGER",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.