MR. JEROME PAUL BOORTZ RPH
NPI 1659713691
Pharmacist in Onalaska, WI

Active since July 18, 2013
9366 STATE ROAD 16, ONALASKA, WI 54650(608) 781-5404(608) 783-4966 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mr. Jerome Paul Boortz Rph NPPES

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

MR. JEROME PAUL BOORTZ RPH (NPI 1659713691) is an individual pharmacist in Onalaska, Wisconsin, licensed in Wisconsin (9192) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1659713691
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JEROME PAUL BOORTZCredential: RPH
Location Address9366 STATE ROAD 16Onalaska, WI 54650-8526
Mailing Address9366 State Highway 16Onalaska, WI 54650 · (608) 781-5404 · Fax (608) 783-4966
Fax(608) 783-4966
Sole ProprietorYes
Enumeration DateJuly 18, 2013
NPI 1659713691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 9192
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.
9366 STATE ROAD 16, Onalaska, WI 54650

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.

Pharmacy (Community/Retail Pharmacy)
9366 STATE ROAD 16
ONALASKA, WI 54650
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
Eyewear Supplier
9366 STATE ROAD 16
ONALASKA, WI 54650

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 Jerome Boortz's NPI number?

The NPI number for Jerome Boortz is 1659713691. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Jerome Boortz located?

Jerome Boortz practices at 9366 State Road 16, Onalaska, WI 54650. The listed phone number is (608) 781-5404.

What is Jerome Boortz'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 Jerome Boortz was last updated on July 18, 2013. 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.