Thomas Joseph Wisinski, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16629-40 Issued in WI

Practice address

660 N Edwards Blvd
Lake Geneva, WI 53147-4595

Phone

(262) 248-5610

Fax

(262) 248-5611

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1013271501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N EDWARDS BLVD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474595",
            "telephone_number": "262-248-5610",
            "fax_number": "262-248-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N EDWARDS BLVD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474595",
            "telephone_number": "262-248-5610",
            "fax_number": "262-248-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISINSKI",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16629-40",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051036213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy M Williamson, OT ASSISTANT
• Macy Kay Winkelman, PT
• Wisconsin CVS Pharmacy LLC
• Wisconsin Illinois Senior Housing Inc.
• David Wise, R.N.
• Andrew Wisnowski, PHARMD
• Amanda Wolf, APNP
• Katelyn M Woolbright, DPT
• Amanda Joleen Young
• Deborah Lynn Young, APRN, FNP

• Pharmacist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.