Active NPI
Sonu Baru
- Pharmacist
- Brookfield, WI
National Provider Identifier
1821815119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22813-40
- Practice address
- 17165 W Bluemound Rd
Brookfield, WI 53005-5917 - Phone
- (262) 797-9074
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22813-40 | WI | Primary |
Addresses
Primary practice location
17165 W Bluemound Rd
Brookfield, WI 53005-5917
Mailing address
17165 W Bluemound Rd
Brookfield, WI 53005-5917
Phone (262) 797-9074
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22813-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Glendale, WI
- NPI 1649947573
-
- Pharmacy
- Brookfield, WI
- NPI 1336463124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1821815119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17165 W BLUEMOUND RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055917",
"telephone_number": "262-797-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17165 W BLUEMOUND RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055917",
"telephone_number": "262-797-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARU",
"first_name": "SONU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22813-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.