Active NPI
Lawrence J Mihalevich, RPH
- Pharmacist
- Sheboygan, WI
National Provider Identifier
1043513807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16165-040
- Practice address
- 1029 N 14TH St
Sheboygan, WI 53081-3813 - Phone
- (920) 458-7707
- NPI assigned
- Dec 15, 2010
- Last updated
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15828 | IA | |
| Pharmacist | 183500000X | 16165-040 | WI | Primary |
Addresses
Primary practice location
1029 N 14TH St
Sheboygan, WI 53081-3813
Mailing address
4051 Country Meadows Dr
Sheboygan, WI 53083-2580
Phone (319) 217-8494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15828 | IA | MD | Pharmacist |
| 16165-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1043513807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4051 COUNTRY MEADOWS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530832580",
"telephone_number": "319-217-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 N 14TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813813",
"telephone_number": "920-458-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHALEVICH",
"first_name": "LAWRENCE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-15",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15828",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16165-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.