MR. RUSSELL ROBERT SOBOTTA R.PH., MBA
NPI 1124614912
Pharmacist in Menomonee Falls, WI

Active since December 15, 2020
N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 53051(262) 253-5056 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Russell Robert Sobotta R.ph., Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSSELL ROBERT SOBOTTA R.PH., MBA (NPI 1124614912) is an individual pharmacist in Menomonee Falls, Wisconsin, licensed in Wisconsin (10276) and active in the NPI registry since December 2020. He maintains a secondary practice location in West Bend.

NPPES Registry Identity

NPI1124614912
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. RUSSELL ROBERT SOBOTTACredential: R.PH., MBA
Location AddressN83W15550 APPLETON AVEMenomonee Falls, WI 53051-3714
Mailing Address5560 W Lake DriveWest Bend, WI 53095 · (414) 507-5635
Sole ProprietorYes
Enumeration DateDecember 15, 2020
Last NPPES UpdateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
NPI 1124614912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 10276
Definition
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.
N83W15550 APPLETON AVE, Menomonee Falls, WI 53051

Secondary Practice Location 1

Location 15560 W Lake DrWest Bend, WI 53095-9144 · Phone (414) 507-5635

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
N83W15550 APPLETON AVE
MENOMONEE FALLS, WI 53051
Pharmacist
N83W15550 APPLETON AVE
MENOMONEE FALLS, WI 53051
Pharmacist
N83W15550 APPLETON AVE
MENOMONEE FALLS, WI 53051
Nurse Practitioner (Family)
N83W15550 APPLETON AVE
MENOMONEE FALLS, WI 53051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Sobotta's NPI number?

The NPI number for Russell Sobotta is 1124614912. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Russell Sobotta located?

Russell Sobotta practices at N83w15550 Appleton Ave, Menomonee Falls, WI 53051. The listed phone number is (262) 253-5056.

What is Russell Sobotta's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Russell Sobotta was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.