Individual provider Active NPI

Will Weldon Taege

  • Pharmacist
  • Rhinelander, WI
National Provider Identifier
1619302122
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8113-40 Issued in WI
Practice address
2200 Lincoln St
Rhinelander, WI 54501-3631
Phone
(715) 362-3999
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8113-40 WI Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 8113-40 WI

Addresses

Primary practice location

2200 Lincoln St
Rhinelander, WI 54501-3631

Mailing address

4381 Cedar LN
Rhinelander, WI 54501-9779
Phone (715) 282-5449

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

State licenses

LicenseStateTypeSpecialty
8113-40WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1619302122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 CEDAR LN",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019779",
            "telephone_number": "715-282-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LINCOLN ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013631",
            "telephone_number": "715-362-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEGE",
        "first_name": "WILL",
        "middle_name": "WELDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8113-40",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "8113-40",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.