IndividualActive
Thomas Boucher
NPI 1629409099 · Pharmacist · Green Bay, WI
Thomas Boucher is a Pharmacist provider in Green Bay, WI (NPI 1629409099).
Provider details
- NPI number
- 1629409099
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 8802-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 Bay Park Sq
Green Bay, WI 54304-5104
Phone: (920) 499-5889
Street-level locationGet directions
Mailing address
E125 Cherneyville Rd
Luxemburg, WI 54217-7464
Registry dates
- Enumerated
- 2013-12-10
- Last updated
- 2013-12-10
Frequently asked questions
- What is Thomas Boucher's NPI number?
- Thomas Boucher's National Provider Identifier (NPI) is 1629409099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Boucher's specialty?
- Thomas Boucher is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Thomas Boucher located?
- Thomas Boucher's practice location on file with NPPES is 301 Bay Park Sq, Green Bay, WI 54304-5104.
- What is Thomas Boucher's phone number?
- The practice phone number listed in the NPPES registry for Thomas Boucher is (920) 499-5889.
- Is Thomas Boucher's NPI active?
- Yes — Thomas Boucher's NPI (1629409099) is active in the NPPES registry as of the last update on 2013-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.