Active NPI
John Charles Swanson, BS
- Pharmacist
- Dodgeville, WI
National Provider Identifier
1053697136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 778940
- Practice address
- 1133 N Johns St
Dodgeville, WI 53533-1277 - Phone
- (608) 935-2041
- Fax
- (608) 935-5737
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 778940 | WI | Primary |
Addresses
Primary practice location
1133 N Johns St
Dodgeville, WI 53533-1277
Mailing address
1133 N Johns St
Dodgeville, WI 53533-1277
Phone (608) 935-2041
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778940 | 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 and National Provider Directory roles.
-
- Pharmacy
- Dodgeville, WI
- NPI 1134336910
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1053697136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 N JOHNS ST",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331277",
"telephone_number": "608-935-2041",
"fax_number": "608-935-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 N JOHNS ST",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331277",
"telephone_number": "608-935-2041",
"fax_number": "608-935-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "JOHN",
"middle_name": "CHARLES",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "778940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dodgeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.