Active NPI
John Caldwell, R.PH.
- Pharmacist
- Seymour, WI
National Provider Identifier
1093069650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11683
- Practice address
- 1010 S Mainline Dr
Seymour, WI 54165-1150 - Phone
- (920) 833-0430
- NPI assigned
- Nov 5, 2012
- 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 | 11683 | WI | Primary |
Addresses
Primary practice location
1010 S Mainline Dr
Seymour, WI 54165-1150
Mailing address
2301 E Ashbury Dr Apt 15
Appleton, WI 54913-7305
Phone (608) 219-3749
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 |
|---|---|---|---|
| 11683 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1093069650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 E ASHBURY DR APT 15",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137305",
"telephone_number": "608-219-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S MAINLINE DR",
"city": "SEYMOUR",
"state": "WI",
"postal_code": "541651150",
"telephone_number": "920-833-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.