DR. LAURA MARIE HANTAK PHARMD
NPI 1366796856
Pharmacist in West Bend, WI

Active since November 05, 2012
1709 S 18TH AVE, WEST BEND, WI 53095(262) 338-6444(262) 338-3635 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laura Marie Hantak Pharmd NPPES

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

DR. LAURA MARIE HANTAK PHARMD (NPI 1366796856) is an individual pharmacist in West Bend, Wisconsin, licensed in Wisconsin (16007) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1366796856
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. LAURA MARIE HANTAKCredential: PHARMD
Location Address1709 S 18TH AVEWest Bend, WI 53095-7808
Mailing Address1709 S 18th AveWest Bend, WI 53095-7808 · (262) 338-6444 · Fax (262) 338-3635
Fax(262) 338-3635
Sole ProprietorYes
Enumeration DateNovember 5, 2012
NPI 1366796856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 16007
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.
1709 S 18TH AVE, West Bend, WI 53095

Other Providers at the Same Location NPPES 2

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

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1709 S 18TH AVE
WEST BEND, WI 53095
Pharmacy (Community/Retail Pharmacy)
1709 S 18TH AVE
WEST BEND, WI 53095

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 Laura Hantak's NPI number?

The NPI number for Laura Hantak is 1366796856. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Where is Laura Hantak located?

Laura Hantak practices at 1709 S 18th Ave, West Bend, WI 53095. The listed phone number is (262) 338-6444.

What is Laura Hantak'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 Laura Hantak was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.