Active NPI
David Kudlik
- Pharmacist
- Brookfield, WI
National Provider Identifier
1508770363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11080-40
- Practice address
- 12735 W Capitol Dr
Brookfield, WI 53005-2442 - Phone
- (262) 783-7302
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 11080-40 | WI | Primary |
Addresses
Primary practice location
12735 W Capitol Dr
Brookfield, WI 53005-2442
Mailing address
6640 Roma Way
Naples, FL 34113-1721
Phone (262) 783-7302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1508770363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 ROMA WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341131721",
"telephone_number": "262-783-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12735 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052442",
"telephone_number": "262-783-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLIK",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11080-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.