Jeffrey Robert Hebl, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12057-40 Issued in WI

Practice address

2700 New Pinery Rd
Portage, WI 53901-9221

Phone

(608) 742-5727

Fax

(608) 745-4217

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Registered Pharmacist

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.

• Walgreen Co

  dba Walgreens #07732

  • Pharmacy
  • Portage, WI
  • NPI 1962417014
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1770868846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019221",
            "telephone_number": "608-742-5727",
            "fax_number": "608-745-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019221",
            "telephone_number": "608-742-5727",
            "fax_number": "608-745-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBL",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12057-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Harry, MS, LPC
• Hart Family Dentistry SC
• Brian Hart, DDS
• Gerald Allen Hart, DDS
• Jami M Hebl, MS
• Brian David Heeren, D.C.
• Kristina Hellenbrand, MPT
• Lauren Elizabeth Henderson
• Cynthia Jean Henry, DO
• Robert A. Henry Jr., D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.