Individual provider Active NPI

Lindsey B Janowski, PHARMD

  • Pharmacist
  • Green Bay, WI
National Provider Identifier
1093313058
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15583-040 Issued in WI
Practice address
2440 W Mason St
Green Bay, WI 54303-4711
Phone
(920) 499-2330
Fax
(920) 499-1136
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15583-040 WI Primary

Addresses

Primary practice location

2440 W Mason St
Green Bay, WI 54303-4711

Mailing address

2491 Clear Brook Cir
Green Bay, WI 54313-3977
Phone (608) 335-7247

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15583-040WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1093313058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 CLEAR BROOK CIR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543133977",
            "telephone_number": "608-335-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034711",
            "telephone_number": "920-499-2330",
            "fax_number": "920-499-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOWSKI",
        "first_name": "LINDSEY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15583-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.