Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Trevor William Breisch, PHARMD

Individual provider Pharmacist · NPI 1306229661

Dr. Trevor William Breisch, PHARMD is a Pharmacist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone: (608) 440-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 17972-40 (WI)
Pharmacist Taxonomy 183500000X · Licence 17972-40 (WI)

Record details

NPI number1306229661
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address2100 Stone Crest Rd, Stoughton, WI 53589-4279

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