Jay Bubrick, RPh
Pharmacist in Glendale, WI. Individual provider (NPI-1).
NPI number1124458468
StatusActive
Last updated in NPPESNov 23, 2013
Details
- NPI
- 1124458468
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jay Bubrick
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2013
- Last updated
- Nov 23, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 8332-040 | WI | Yes |
Practice location
5320 N Port Washington RdGlendale, WI 53217-4913
Phone 414-963-0811 · Fax 414-963-0830
Mailing address
4961 N Wildwood AveWhitefish Bay, WI 53217-6015
Phone 414-964-1693
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Pharmacist providers in Glendale · All 792 providers in Glendale
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