DAG RIVEDAL RPH
NPI 1154694610
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Cudahy, WI

Active since February 14, 2012
3201 E LAYTON AVE, CUDAHY, WI 53110(414) 481-8220 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dag Rivedal Rph NPPES

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

DAG RIVEDAL RPH (NPI 1154694610) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Cudahy, Wisconsin, licensed in Wisconsin (1176940) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1154694610
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDAG RIVEDALCredential: RPH
Location Address3201 E LAYTON AVECudahy, WI 53110-1402
Mailing Address8509 W Cascade Oaks CtFranklin, WI 53132-8530
Sole ProprietorYes
Enumeration DateFebruary 14, 2012
NPI 1154694610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in WI · 1176940
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
3201 E LAYTON AVE, Cudahy, WI 53110

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
3201 E LAYTON AVE
CUDAHY, WI 53110
Pharmacy
3201 E LAYTON AVE
CUDAHY, WI 53110
Pharmacist
3201 E LAYTON AVE
CUDAHY, WI 53110
Pharmacist
3201 E LAYTON AVE
CUDAHY, WI 53110

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 Dag Rivedal's NPI number?

The NPI number for Dag Rivedal is 1154694610. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Dag Rivedal located?

Dag Rivedal practices at 3201 E Layton Ave, Cudahy, WI 53110. The listed phone number is (414) 481-8220.

What is Dag Rivedal's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Dag Rivedal was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.