Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629409099 Individual Practitioner Male Practitioner

Thomas Boucher

Pharmacist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Thomas Boucher is a registered healthcare professional specializing in Pharmacist in Green Bay, WI. Practice services are available at 301 BAY PARK SQ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 Bay Park Sq

Green Bay, WI 543045104

Telephone 9204995889
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
155 Specialists

Practicing in Green Bay, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 8802-40

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1124452891

Registered Pharmacist

NPI 1558615047

Doctor of Pharmacy (Pharm.D.)

Gena Trast

Pharmacist

NPI 1962833301

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2013

Registered at 301 BAY PARK SQ, GREEN BAY, WI 543045104 (Tel: 9204995889)

📍
Updated Business Mailing Address December 10, 2013

Registered at E125 CHERNEYVILLE RD, LUXEMBURG, WI 542177464

👤
Provider Name / Credentials Updated December 10, 2013

Recorded as THOMAS BOUCHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2013

Pharmacist (License #8802-40 in WI)

🟢
Initial NPI Registration & Enumeration December 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629409099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2013
Last Update: December 10, 2013
Sole Proprietor: No

Mailing Address

E125 Cherneyville Rd

Luxemburg, WI 542177464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.