Active NPI
Robert Nixon Bicigo
- Pharmacist
- Appleton, WI
National Provider Identifier
1114203916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10446-40
- Practice address
- 2803 N Meade St
Appleton, WI 54911-1507 - Phone
- (920) 830-6985
- NPI assigned
- Oct 25, 2011
- Last updated
- Oct 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10446-40 | WI | Primary |
Addresses
Primary practice location
2803 N Meade St
Appleton, WI 54911-1507
Mailing address
2803 N Meade St
Appleton, WI 54911-1507
Phone (920) 830-6985
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 |
|---|---|---|---|
| 10446-40 | 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": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1114203916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111507",
"telephone_number": "920-830-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111507",
"telephone_number": "920-830-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICIGO",
"first_name": "ROBERT",
"middle_name": "NIXON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10446-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.