Richard Sasek
Individual provider Active NPI Pharmacist · Dousman, WI
NPI 1508257973 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1508257973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8458 (WI)
- Practice address
- S34W32830 Sierra Pass
Dousman, WI 53118-9785 - Phone
- (414) 587-3156
- NPI assigned
- Feb 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8458 | WI | Yes |
Addresses
Primary practice location
S34W32830 Sierra Pass
Dousman, WI 53118-9785
Mailing address
S34W32830 Sierra Pass
Dousman, WI 53118-9785
Other providers in Dousman, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.