Active NPI
Patricia Jo Odwyer, RPH, CGP
- Geriatric Pharmacist
- Cedarburg, WI
National Provider Identifier
1205990967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 9392-040
- Practice address
- W76N677 Wauwatosa Rd
Cedarburg, WI 53012-1707 - Phone
- (262) 377-5060
- Fax
- (262) 512-2833
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 9392-040 | WI | Primary |
Addresses
Primary practice location
W76N677 Wauwatosa Rd
Cedarburg, WI 53012-1707
Mailing address
8415 N Port Washington Rd
Fox Point, WI 53217-2232
Phone (414) 351-6892
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 |
|---|---|---|---|
| 9392-040 | WI | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205990967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 N PORT WASHINGTON RD",
"city": "FOX POINT",
"state": "WI",
"postal_code": "532172232",
"telephone_number": "414-351-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W76N677 WAUWATOSA RD",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530121707",
"telephone_number": "262-377-5060",
"fax_number": "262-512-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODWYER",
"first_name": "PATRICIA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "RPH, CGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WI",
"license": "9392-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedarburg, WI
- North Shore Concierge Clinic
- North Shore Eye Health and Wellness, SC (North Shore Eye Health and Wellness)
- Northshore Clinic & Consultants, Inc.
- NSH Cedarburg LLC
- Katherine Emma Obrien, OTR/L
- Old Washington Vol Fire Department (Old Washington Fire Departmen)
- Susan L Orvis, O.D.
- Allyson Otten, DPM
- Ozaukee Family Services
- Roberta Nancy Paquette, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.