Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124614912 Individual Practitioner Male Practitioner

Russell Robert Sobotta , RPH, MBA

Pharmacist • Menomonee Falls, WI

Professional Overview & Biography Verified Profile Summary

Russell Sobotta, RPH, MBA is a registered healthcare professional specializing in Pharmacist in Menomonee Falls, WI. Practice services are available at N83W15550 APPLETON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N83w15550 Appleton Ave

Menomonee Falls, WI 530513714

Telephone 2622535056
Associated Practice Facility / Clinic
🏢 Wisconsin Cvs Pharmacy Llc Facility NPI 1396014908

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Menomonee Falls, WI

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

Practicing in Menomonee Falls, 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

CMS Verified: 2020-12-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 10276

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.

Secondary Practice Locations

5560 W Lake Dr

West Bend, WI 530959144

Phone: 4145075635

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1417582974
NPI 1477330959

Doctor of Pharmacy (Pharm.D.)

NPI 1598351975

Registered Pharmacist

Tammy Degenhardt , APNP

Nurse Practitioner - Family

NPI 1669770210

Advanced Practice Nurse Prescriber

NPI 1831802313

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2020

Registered at N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 530513714 (Tel: 2622535056)

📍
Updated Business Mailing Address December 17, 2020

Registered at 5560 W LAKE DRIVE, WEST BEND, WI 53095 (Tel: 4145075635)

👤
Provider Name / Credentials Updated December 17, 2020

Recorded as RUSSELL SOBOTTA, R.PH., MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Pharmacist (License #10276 in WI)

🟢
Initial NPI Registration & Enumeration December 15, 2020

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: 1124614912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2020
Last Update: December 17, 2020
Sole Proprietor: Yes

Mailing Address

5560 W Lake Drive

West Bend, WI 53095

Phone: 4145075635

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.