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Active NPI 1639777550 Individual Practitioner Male Practitioner

Dr. Tanner Paque , PharmD

Pharmacist • Mukwonago, WI

Professional Overview & Biography Verified Profile Summary

Dr. Tanner Paque, PharmD is a registered healthcare professional specializing in Pharmacist in Mukwonago, WI. Practice services are available at 250 WOLF RUN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

250 Wolf Run

Mukwonago, WI 531498470

Telephone 2623638366
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1548287691

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mukwonago, WI

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

Practicing in Mukwonago, 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: 2021-10-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 17123-40

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
Joshua Amelunk

Pharmacist

NPI 1144828138
NPI 1184222978
NPI 1245838226

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 13, 2021

Registered at 250 WOLF RUN, MUKWONAGO, WI 531498470

NPI Profile Active October 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2020

Registered at 250 WOLF RUN, MUKWONAGO, WI 531498470 (Tel: 2623638366)

📍
Updated Business Mailing Address October 13, 2020

Registered at S100W35780 EAGLES PRESERVE DR, EAGLE, WI 531192611

👤
Provider Name / Credentials Updated October 13, 2020

Recorded as TANNER PAQUE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2020

Pharmacist (License #17123-40 in WI)

🟢
Initial NPI Registration & Enumeration October 13, 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: 1639777550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2020
Last Update: October 13, 2021
Sole Proprietor: No

Mailing Address

250 Wolf Run

Mukwonago, WI 531498470

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.