Active NPI
Karen Joan McClyman-Tischer
- Pharmacist
- Wisconsin Rapids, WI
National Provider Identifier
1073112926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11121-40
- Practice address
- 4331 8TH St S
Wisconsin Rapids, WI 54494-7833 - Phone
- (715) 423-8500
- Fax
- (715) 423-7276
- NPI assigned
- Oct 21, 2020
- Last updated
- Oct 21, 2020
- Sex
- Female
- 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 | 11121-40 | WI | Primary |
Addresses
Primary practice location
4331 8TH St S
Wisconsin Rapids, WI 54494-7833
Mailing address
4331 8TH St S
Wisconsin Rapids, WI 54494-7833
Phone (715) 423-8500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11121-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1073112926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4331 8TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544947833",
"telephone_number": "715-423-8500",
"fax_number": "715-423-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 8TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544947833",
"telephone_number": "715-423-8500",
"fax_number": "715-423-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLYMAN-TISCHER",
"first_name": "KAREN",
"middle_name": "JOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11121-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
- Dana Sue Mathis, FNP
- Jessica Mattheis, COTA
- Heather Lisa McCarthy, PT, DPT
- Elizabeth Pauline McCarville
- Brenda Jo McClellan-Tilson, APNP, MSN
- McCray Chiropractic LLC
- Karla Renee McDonald, DDS
- McDonough Orthopaedic and Sports Medicine Center SC
- McDonough Orthopaedic and Sports Medicine Center SC
- McDonough Orthopaedic and Sports Medicine Center SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.