Ariel Dawn Ferdock, PHARMD
Individual provider Active NPI Pharmacist · Sparta, WI
NPI 1003398488 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1003398488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20023 (WI)
- Practice address
- 310 W Main St
Sparta, WI 54656 - Phone
- (608) 785-0940
- NPI assigned
- Sep 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451924 | PA | MD | Pharmacist |
| 20023 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451924 | PA | |
| Pharmacist | 183500000X | 20023 | WI | Yes |
Addresses
Primary practice location
310 W Main St
Sparta, WI 54656
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (608) 785-0940
Other practice location 1
815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 784-4000
Other practice location 2
5475 Penn Ave
East Liberty, PA 15206-3453
Phone (412) 361-7562
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aferdock604721@ehrdirect.mayoclinicmsg.org |
Other providers in Sparta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.