Active NPI
Ryan Lueder, PHARM D
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1265719447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- WI16136
- Practice address
- 6707 W Hampton Ave
Milwaukee, WI 53218-4833 - Phone
- (414) 536-1179
- Fax
- (414) 536-1463
- NPI assigned
- Nov 15, 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 | WI16136 | WI | Primary |
Addresses
Primary practice location
6707 W Hampton Ave
Milwaukee, WI 53218-4833
Mailing address
1585 Rolling Meadow Dr
Brookfield, WI 53045-5479
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 |
|---|---|---|---|
| WI16136 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1265719447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 ROLLING MEADOW DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 W HAMPTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184833",
"telephone_number": "414-536-1179",
"fax_number": "414-536-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEDER",
"first_name": "RYAN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "WI16136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.