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SPENCER BOLD PHARMD
NPI 1669080784
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sussex, WI

Active since July 14, 2020
N65W24838 MAIN ST, SUSSEX, WI 53089(262) 946-6363 Get Directions Write a Review

NPPES record last updated: December 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2020, Jul 14, 2020 (2 updates tracked since 2020).

About Spencer Bold Pharmd NPPES

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

SPENCER BOLD PHARMD (NPI 1669080784) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Sussex, Wisconsin, licensed in Wisconsin (20357-40) and active in the NPI registry since July 2020. He maintains a secondary practice location in Mequon.

NPPES Registry Identity

NPI1669080784
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameSPENCER BOLDCredential: PHARMD
Location AddressN65W24838 MAIN STSussex, WI 53089-2670
Mailing Address11509 N Laguna DrMequon, WI 53092-3119 · (414) 243-9579
Phone(262) 946-6363
Sole ProprietorYes
Enumeration DateJuly 14, 2020
Last NPPES UpdateDecember 5, 20202 updates tracked since enumeration
NPPES CertifiedDecember 5, 2020
✔ NPI 1669080784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 20357-40
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.
Also ListedPharmacistTaxonomy 183500000X · License 20357-40 (WI)
N65W24838 MAIN ST, Sussex, WI 53089
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Secondary Practice Location 1

Location 111270 N Port Washington RdMequon, WI 53092-3410 · Phone (262) 241-5539

Other Providers at the Same Location NPPES 9

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

MARK RADTKE
Pharmacist
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (262) 820-0200
ROUNDYS SUPERMARKETS INC
Pharmacy (Community/Retail Pharmacy)
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (414) 231-5959
DR. KRISTINE FOX PHARMD
Pharmacist
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (262) 946-6363
MICHELLE M MINDHAM APNP
Nurse Practitioner
N65W24838 MAIN ST, UNIT 400
SUSSEX, WI 53089
Waukesha County (262) 246-6822
ANNE SCHMIDT RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (262) 946-6363
FHHP SUSSEX LLC
Pharmacy (Community/Retail Pharmacy)
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (262) 820-0200
SARA RIEBOLDT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (262) 946-6363
KAYCEE PRELLWITZ PHARMD
Pharmacist
N65W24838 MAIN ST
SUSSEX, WI 53089
Waukesha County (262) 946-6363

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 Spencer Bold's NPI number?

The NPI number for Spencer Bold is 1669080784. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Spencer Bold located?

Spencer Bold practices at N65w24838 Main St, Sussex, WI 53089. The listed phone number is (262) 946-6363.

What is Spencer Bold'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 Spencer Bold was last updated on December 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.