Prnrx

Primary specialty

PharmacistTaxonomy code 183500000X

License

9211-42 Issued in WI

Legal business name

PRNRX

Practice address

5478 S Westridge Dr
Suite B
New Berlin, WI 53151-7948

Phone

(262) 784-9600

Fax

(262) 784-9605

NPI assigned

Jul 15, 2013

Organization subpart

No

Name

Mr. Donald Koshak, R.PH

Title

Pharmacist

Phone

(262) 784-9600

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2013.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1023459484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 S WESTRIDGE DR",
            "address_2": "SUITE B",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517948",
            "telephone_number": "262-784-9600",
            "fax_number": "262-784-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5478 S WESTRIDGE DR",
            "address_2": "SUITE B",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517948",
            "telephone_number": "262-784-9600",
            "fax_number": "262-784-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRNRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "KOSHAK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "262-784-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9211-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.