Jeffrey Zietlow, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

11432-40 Issued in WI

Practice address

2538 Ironwood Dr
Sun Prairie, WI 53590-8820

Phone

(608) 837-2867

NPI assigned

Dec 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 5 Guysrx 3 LLC

  dba WellCreek Pharmacy Middleton

  • Community/Retail Pharmacy
  • Middleton, WI
  • NPI 1164170692
  NPD Authorized official
• 5 Guys RX LLC

  dba WellCreek Pharmacy-Bethalto

  • Community/Retail Pharmacy
  • Bethalto, IL
  • NPI 1023464187
  NPD
• Roundys Supermarkets Inc

  dba Pick 'N Save Pharmacy #53400379

  • Community/Retail Pharmacy
  • Marshfield, WI
  • NPI 1013484997
  NPD (past)
• Roundys Supermarkets Inc

  dba Metro Market Pharmacy #8102

  • Community/Retail Pharmacy
  • Sun Prairie, WI
  • NPI 1245459304
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1023552791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 IRONWOOD DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908820",
            "telephone_number": "608-837-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 IRONWOOD DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908820",
            "telephone_number": "608-837-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIETLOW",
        "first_name": "JEFFREY",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11432-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33298300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Ashley Zerbian, DDS
• Ziegler Physical Therapy and Wellness
• Emily Fern Ziegler, PT, DPT
• Patricia Carol Ziegler
• Jared Zielke, PHARMD
• Robert J. Ziino, D.D.S.
• Beatrice Nyamusi Zok Sr.
• Carrieann Zondag, MSW, CAPSW
• Ann Zumach, RPH
• Michael A Zutter Jr.

• Pharmacist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.