Nicholas Michael Boege, PHARMD
NPI 1164056602ActiveIndividual· Pharmacist· Green Bay, WI
Pharmacist (PHARMD) in Green Bay, Wisconsin, licensed in WI, with an NPI issued in February 2020. Part D covered 464 prescriptions written in 2024.
Overview
| NPI | 1164056602 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Feb 24, 2020 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 19583-40 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 464 · 464 30-day fills |
|---|---|
| Patients | 365 |
| Total drug cost | $66,648 |
Other pharmacists in Green Bay
- 1023362282
- 1063423200
- 1073898193
- 1104173954
- 1124452891
- 1154063741
- 1205461399
- 1205577467
- 1215352190
- 1235415605
- 1245588110
- 1346594348
All 158 pharmacists in Green Bay · All pharmacists in Wisconsin