Active NPI
Michael Richard Draeger, R PH
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1457468910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8412040
- Practice address
- 9051 W Heather Ave
Milwaukee, WI 53224 - Phone
- (414) 410-8106
- Fax
- (914) 410-8181
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 8412040 | WI | Primary |
Addresses
Primary practice location
9051 W Heather Ave
Milwaukee, WI 53224
Mailing address
2031 Erie Street
Grafton, WI 53024
Phone (262) 377-5796
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8412040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457468910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 ERIE STREET",
"city": "GRAFTON",
"state": "WI",
"postal_code": "53024",
"telephone_number": "262-377-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 W HEATHER AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53224",
"telephone_number": "414-410-8106",
"fax_number": "914-410-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAEGER",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "R PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8412040",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.