Laura Colyer Zagelow, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

15179-40 Issued in WI

Practice address

2761 Prairie Ave
Beloit, WI 53511-2246

Phone

(608) 365-4418

Fax

(608) 365-2023

NPI assigned

Oct 27, 2012

Last updated

Oct 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351296000000",
    "number": "1114271269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112246",
            "telephone_number": "608-365-4418",
            "fax_number": "608-365-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112246",
            "telephone_number": "608-365-4418",
            "fax_number": "608-365-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYER ZAGELOW",
        "first_name": "LAURA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-27",
        "last_updated": "2012-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17617",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15179-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Clark, PTA
• Karlye Clausen, ATC
• Erin Clayton
• Clear Perspective Clinical Services LLC
• Alexis Coates
• Community Health Systems, Inc. (Beloit Area Community Health Center)
• Linda Lee Cook
• Bonita May Cooke, SAC-IT
• Wendy Copeland, PHARMD
• Jessica Corder

• Pharmacist in Beloit, WI
• Providers in Beloit, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.