Individual provider Active NPI

Susan Vrabec, RPH

  • Pharmacist
  • Baraboo, WI
National Provider Identifier
1376949438
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8889-40 Issued in WI
Practice address
522 Oak St
Baraboo, WI 53913-2424
Phone
(608) 356-8701
Fax
(608) 356-8792
NPI assigned
Nov 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8889-40 WI Primary

Addresses

Primary practice location

522 Oak St
Baraboo, WI 53913-2424

Mailing address

522 Oak St
Baraboo, WI 53913-2424
Phone (608) 356-8701

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
8889-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fritschs Corner Drug Store Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1376949438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 OAK ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132424",
            "telephone_number": "608-356-8701",
            "fax_number": "608-356-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OAK ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132424",
            "telephone_number": "608-356-8701",
            "fax_number": "608-356-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRABEC",
        "first_name": "SUSAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8889-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.