MR. PAUL GEORGE KLUBERTANZ (NPI# 1306133996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306133996 |
| Entity Type | Individual |
| Full Name | MR. PAUL GEORGE KLUBERTANZ |
| Credential | RPH |
| Practice Address |
2401 Kossow Rd Waukesha WI 53186-2904 |
| Mailing Address |
1406 Erin Ln Waukesha WI 53188-4968 |
| Practice Telephone | 2627848417 |
| Practice Fax Number | 2627848417 |
| Mailing Telephone | 2625493052 |
| Mailing Fax Number | 2627848417 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9974-40 | WI | Pharmacy Service Providers |
| Street Address |
2401 KOSSOW RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285656983 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2401 Kossow Rd, Waukesha, WI 53186-2904 | 2006-07-24 |
| 1972068377 | Srly Optometrics, LLC | Optometrist | 2401 Kossow Rd, Waukesha, WI 53186-2904 | 2019-02-10 |
| 1427423763 | Amy Forssberg | Pharmacist | 2401 Kossow Rd, Waukesha, WI 53186-2904 | 2015-12-12 |
| 1124400130 | Stefan Levay-young | Optometrist | 2401 Kossow Rd, Waukesha, WI 53186 | 2015-06-25 |
| 1477644144 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2401 Kossow Rd, Waukesha, WI 53186-2904 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268896 | Adam Michael Robb | Pharmacist | 21325 E Moorland Blvd, Waukesha, WI 53186-2909 | 2020-02-24 |
| 1124403027 | Adam Naker | Pharmacist | 210 Nw Barstow St Ste 101, Waukesha, WI 53188-3771 | 2015-07-21 |
| 1376933986 | Amy Rafalow | Pharmacist | 100 E Main St Unit 328, Waukesha, WI 53186-5071 | 2015-02-03 |
| 1013315886 | Matthew Schendel | Pharmacist | 1535 E Moreland Blvd, Waukesha, WI 53186-3929 | 2014-12-10 |
| 1437567203 | Jennifer Dallmann | Pharmacist | 501 S Grand Ave, Waukesha, WI 53186-6121 | 2014-07-24 |
| 1053732123 | Janis Tyler | Pharmacist | S40w31232 Johns Way, Waukesha, WI 53189-9291 | 2013-12-17 |
| 1275800278 | Brian Mihelich | Pharmacist | S42w25050 Oak View Dr, Waukesha, WI 53189-7840 | 2011-11-19 |
| 1447537956 | Raghu Kancharla | Pharmacist | 3637 Applewood Dr, Waukesha, WI 53189-6839 | 2011-11-11 |
| 1114204690 | Scott Wilcox | Pharmacist | 2700 Grandview Blvd, Waukesha, WI 53188-1611 | 2011-11-10 |
| 1972818268 | Claudia Ann Schreiner | Pharmacist | 120 E Sunset Dr, Waukesha, WI 53189-2109 | 2010-08-11 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.