Matthew Harold Proebstle, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15049-040 Issued in WI

Practice address

403 State Road 82
Mauston, WI 53948-1402

Phone

(608) 847-7814

NPI assigned

Oct 24, 2011

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Reedsburg Area Medical Center, Inc.

  dba Reedsburg Area Medical Center Viking Pharmacy

  • Community/Retail Pharmacy
  • Reedsburg, WI
  • NPI 1255832416
  NPD (past)
• Reedsburg Area Medical Center, Inc.

  • Critical Access Hospital
  • Reedsburg, WI
  • NPI 1891796710
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1528344488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 STATE ROAD 82",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481402",
            "telephone_number": "608-847-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STATE ROAD 82",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481402",
            "telephone_number": "608-847-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROEBSTLE",
        "first_name": "MATTHEW",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15049-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Valley Integrated Services LLC
• Pine Valley Residential Services
• Ryan Arthur Plamann, M.D.
• Micah R Playman, CRNA, NP
• Allegra Ponshock, MD
• Professional Hearing Care, LLC
• Ptworks LLC
• Colleen Ann Quinn, MS., CCC-SLP
• Ann Lynn Raabe, AUD, CCC-A
• Leon J. Radant, M.D.

• Pharmacist in Mauston, WI
• Providers in Mauston, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.