TANNER PAQUE PHARMD
NPI 1639777550
Pharmacist in Mukwonago, WI

Active since October 13, 2020
250 WOLF RUN, MUKWONAGO, WI 53149(262) 363-8366 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2021, Oct 13, 2020 (2 updates tracked since 2020).

About Tanner Paque Pharmd NPPES

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

TANNER PAQUE PHARMD (NPI 1639777550) is an individual pharmacist in Mukwonago, Wisconsin, licensed in Wisconsin (17123-40) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1639777550
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTANNER PAQUECredential: PHARMD
Location Address250 WOLF RUNMukwonago, WI 53149-8470
Mailing Address250 Wolf RunMukwonago, WI 53149-8470
Sole ProprietorNo
Enumeration DateOctober 13, 2020
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
NPI 1639777550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 17123-40
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.
250 WOLF RUN, Mukwonago, WI 53149

Other Providers at the Same Location NPPES 7

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

Technician/Technologist (Optician)
250 WOLF RUN
MUKWONAGO, WI 53149
Nurse Practitioner
250 WOLF RUN, SUITE 5
MUKWONAGO, WI 53149
Pharmacist
250 WOLF RUN
MUKWONAGO, WI 53149
Pharmacist
250 WOLF RUN
MUKWONAGO, WI 53149
Pharmacist
250 WOLF RUN
MUKWONAGO, WI 53149
Pharmacy (Community/Retail Pharmacy)
250 WOLF RUN
MUKWONAGO, WI 53149
Optometrist
250 WOLF RUN
MUKWONAGO, WI 53149

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 Tanner Paque's NPI number?

The NPI number for Tanner Paque is 1639777550. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Tanner Paque located?

Tanner Paque practices at 250 Wolf Run, Mukwonago, WI 53149. The listed phone number is (262) 363-8366.

What is Tanner Paque'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 Tanner Paque was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.