Active NPI
Geno Bondioli, RPH
- Pharmacist
- Muskego, WI
National Provider Identifier
1497001671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12863
- Practice address
- S70W15775 Janesville Rd
Muskego, WI 53150-8352 - Phone
- (414) 422-1359
- Fax
- (414) 422-1447
- NPI assigned
- Jul 25, 2012
- Last updated
- May 5, 2014
- 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 | 12863 | WI | Primary |
Addresses
Primary practice location
S70W15775 Janesville Rd
Muskego, WI 53150-8352
Mailing address
2422 Patrick LN
Waukesha, WI 53188-7309
Phone (262) 758-2299
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 |
|---|---|---|---|
| 12863 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1497001671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 PATRICK LN",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531887309",
"telephone_number": "262-758-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S70W15775 JANESVILLE RD",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531508352",
"telephone_number": "414-422-1359",
"fax_number": "414-422-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDIOLI",
"first_name": "GENO",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.