THOMAS BOUCHER
NPI 1629409099
Pharmacist in Green Bay, WI

Active since December 10, 2013
301 BAY PARK SQ, GREEN BAY, WI 54304(920) 499-5889 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Boucher NPPES

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

THOMAS BOUCHER (NPI 1629409099) is an individual pharmacist in Green Bay, Wisconsin, licensed in Wisconsin (8802-40) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1629409099
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTHOMAS BOUCHER
Location Address301 BAY PARK SQGreen Bay, WI 54304-5104
Mailing AddressE125 Cherneyville RdLuxemburg, WI 54217-7464
Sole ProprietorNo
Enumeration DateDecember 10, 2013
NPI 1629409099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 8802-40
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.
301 BAY PARK SQ, Green Bay, WI 54304

Other Providers at the Same Location NPPES 10

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

Pharmacy (Community/Retail Pharmacy)
301 BAY PARK SQ
GREEN BAY, WI 54304
Eyewear Supplier
301 BAY PARK SQ
GREEN BAY, WI 54304
Pharmacy (Community/Retail Pharmacy)
301 BAY PARK SQ
GREEN BAY, WI 54304
Optometrist
301 BAY PARK SQ
GREEN BAY, WI 54304
Physician Assistant
301 BAY PARK SQ
GREEN BAY, WI 54304
Pharmacist
301 BAY PARK SQ
GREEN BAY, WI 54304
Nurse Practitioner (Family)
301 BAY PARK SQ
GREEN BAY, WI 54304
Nurse Practitioner (Family)
301 BAY PARK SQ
GREEN BAY, WI 54304

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 Thomas Boucher's NPI number?

The NPI number for Thomas Boucher is 1629409099. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Where is Thomas Boucher located?

Thomas Boucher practices at 301 Bay Park Sq, Green Bay, WI 54304. The listed phone number is (920) 499-5889.

What is Thomas Boucher'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 Thomas Boucher was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.