Brian Bock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16762-40 Issued in WI

Practice address

807 W Layton Ave
Milwaukee, WI 53221-2426

Phone

(414) 533-2222

NPI assigned

Jun 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Electronic endpoints 1

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.

• B7 Pharmacy Inc

  dba Good Value Pharmacy Racine

  • Community/Retail Pharmacy
  • Racine, WI
  • NPI 1174021778
  NPD (past)
• Hayat Pharmacy 19 LLC

  dba Hayat Pharmacy 19 LTC

  • Long Term Care Pharmacy
  • Milwaukee, WI
  • NPI 1932075850
  NPD (past)
• Hayat Pharmacy 19 LLC

  dba Hayat Pharmacy 19

  • Community/Retail Pharmacy
  • Milwaukee, WI
  • NPI 1962053421
  NPD (past)
• Hayat Pharmacy 5 LLC

  dba Hayat Pharmacy 5

  • Community/Retail Pharmacy
  • Milwaukee, WI
  • NPI 1114224649
  NPD (past)
• Nutritional Designs LLC

  dba Nutritional Designs and Pharmacy LLC

  • Community/Retail Pharmacy
  • Racine, WI
  • NPI 1912019837
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1619358546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212426",
            "telephone_number": "414-533-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212426",
            "telephone_number": "414-533-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532213764",
            "country_code": "US",
            "telephone_number": "414-270-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532051155",
            "country_code": "US",
            "telephone_number": "414-374-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 W Silver Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532094217",
            "country_code": "US",
            "telephone_number": "414-464-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCK",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "16762-40",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WI",
            "license": "16762-40",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WI",
            "license": "16762-40",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16762-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "16762-40",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "051.296057",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100271681",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbock@hayatrx.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "807 W Layton Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532212426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Bobolz
• Bonnie Lynn Bobot, M.D.
• Annabel Bochat, PHARMD
• Fabiola Boche, PA-C
• Laura A Bochenczak, APNP
• Jonathon M Bock, M.D.
• Hindolo Nathaniel Bockarie, R.N.
• James A Bockeloh, DNP, APNP
• Seth Bodden, MD
• Brent Bode, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.