George Breitenstein, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

7640040-40 Issued in WI

Practice address

115 N Western Ave
Waupaca, WI 54981-2201

Phone

(715) 256-0400

Fax

(715) 256-0402

NPI assigned

May 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• George Breitenstein Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Waupaca Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Waupaca, WI
  • NPI 1396087243
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1972915148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 LOVERS LN",
            "address_2": "PO BOX 328",
            "city": "AMHERST",
            "state": "WI",
            "postal_code": "544068935",
            "telephone_number": "715-824-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N WESTERN AVE",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812201",
            "telephone_number": "715-256-0400",
            "fax_number": "715-256-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENSTEIN",
        "first_name": "GEORGE",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "7640040-40",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS11868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NO",
            "identifier": "7640040-40",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "BREITENSTEIN",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Bonfiglio, PA
• Mellissa Borst, PT, DPT
• Josie Ann Bosquez
• Lanna Boyle
• Sherry Lyn Brasch
• Hope Brock, L.AC.
• Alyssa Christine Brooks, D.C.
• Gilbert C Burgstede, M.D.
• Michelle Amber Burington, RD, CD, CLS
• Christine W Burnett, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.