Lisa Cichocki, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17594-40 Issued in WI

Practice address

2440 W Mason St
Green Bay, WI 54303-4711

Phone

(920) 499-2330

NPI assigned

Oct 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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": "1205434289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 HUDSON HILL DR",
            "city": "HOBART",
            "state": "WI",
            "postal_code": "541558984",
            "telephone_number": "920-664-4114"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHOCKI",
        "first_name": "LISA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "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": "17594-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Christopher
• Chrome Dental LLC
• Yoon Wook Chun, MD
• Paul J Cibula, D.C.
• Halie Cichocki
• Katarzyna Ciesielska, DO
• Marie G Cineus, DDS
• Amy Rebecca Cisar, MSE NCC
• Nana Nash Cisler, MA
• City of Green Bay Office of Comptroller

• Pharmacist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Pharmacist in Wisconsin

• 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.