Alex D Breister

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

21487-40 Issued in WI

Practice address

760 W Johnson St
Fond Du Lac, WI 54935-2016

Phone

(920) 929-7422

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1306557202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W JOHNSON ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352016",
            "telephone_number": "920-929-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W JOHNSON ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352016",
            "telephone_number": "920-929-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREISTER",
        "first_name": "ALEX",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "21487-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Braskamp, DPT
• Andrew Braun
• Lindsey Braun, PHARMD
• Monica J Braun, NP
• Krystine Amber Breedlove, ACNPC-AG
• Taylor Renae Breister, DPT
• Gina M Breit, PT
• Lisa Brennan, FNP
• Sarah M Brinkley, LPCIT
• Rachael Brochtrup, PT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.