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
- Last updated
- Sep 22, 2025
- 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, 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": "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.