Individual provider Active NPI

Manpreet S Rai

  • Pharmacist
  • Sheboygan, WI
National Provider Identifier
1407480056
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19640-40 Issued in WI
Practice address
1029 N 14TH St
Sheboygan, WI 53081-3813
Phone
(920) 458-7707
NPI assigned
Feb 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 19640-40 WI Primary

Addresses

Primary practice location

1029 N 14TH St
Sheboygan, WI 53081-3813

Mailing address

1182 Bloomfield Dr
Streamwood, IL 60107-2613

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

LicenseStateTypeSpecialty
19640-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 15, 2024 Accepting new patients
Walgreen Co PastSince Mar 1, 2020 Accepting new patients

Locations

1029 N 14th St
Sheboygan, WI 53081
Phone (920) 458-7707

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.

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1407480056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 BLOOMFIELD DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 N 14TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813813",
            "telephone_number": "920-458-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "MANPREET",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19640-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.