Individual provider Active NPI

Brian Dekarske, PHARMD

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1821332669
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16900-40 Issued in WI
Practice address
1009 N Jackson St
Apt 2606
Milwaukee, WI 53202-3258
Phone
(920) 946-5441
NPI assigned
Nov 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16900-40 WI Primary

Addresses

Primary practice location

1009 N Jackson St
Apt 2606
Milwaukee, WI 53202-3258

Mailing address

1009 N Jackson St
Apt 2606
Milwaukee, WI 53202-3258
Phone (920) 946-5441

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16900-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1821332669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N JACKSON ST",
            "address_2": "APT 2606",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023258",
            "telephone_number": "920-946-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N JACKSON ST",
            "address_2": "APT 2606",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023258",
            "telephone_number": "920-946-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKARSKE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16900-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.