Thomas L. Blumenberg, R.PH., MPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

8800 Issued in WI

Practice address

10718 N Clear Lake Dr
Hayward, WI 54843-7645

Phone

(715) 462-4821

NPI assigned

Jun 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942402144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 N CLEAR LAKE DR",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437645",
            "telephone_number": "715-462-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 N CLEAR LAKE DR",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437645",
            "telephone_number": "715-462-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENBERG",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "credential": "R.PH., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "677939 1",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Berlin, FNP
• Kari Patricia Berube, OTR/L
• Amy Marilyn Billman
• Bio-Medical Applications of Wisconsin, Inc. (Fresenius Medical Care Hayward)
• Robyn Rene Bjork, MPT,CWS,WCC,CLT-LANA
• Hayley Laure Bocht
• Kelle L Boese, MS, LPC-IT
• Carly Botten, DENTAL HYGIENIST
• Alan L Bowman, P.T.
• Barbara L Bowman, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.