Active NPI
David C Serebin, BS
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1891060968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10211-040
- Practice address
- 9000 W Wisconsin Ave
Ms#730
Milwaukee, WI 53226-4874 - Phone
- (414) 266-3302
- Fax
- (414) 266-1539
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 10211-040 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Ms#730
Milwaukee, WI 53226-4874
Mailing address
N97W16885 Navajo Dr
Germantown, WI 53022-4976
Phone (262) 253-6674
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10211-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1891060968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N97W16885 NAVAJO DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224976",
"telephone_number": "262-253-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "MS#730",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-3302",
"fax_number": "414-266-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEREBIN",
"first_name": "DAVID",
"middle_name": "C",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10211-040",
"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 Mar 21, 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.