Active NPI
Timothy Patrick Starry, R.PH.
- Pharmacist
- Oconto Falls, WI
National Provider Identifier
1215324629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13335
- Practice address
- 323 E Highland Dr
Oconto Falls, WI 54154-1006 - Phone
- (920) 848-3721
- Fax
- (920) 848-4374
- NPI assigned
- Apr 23, 2015
- Last updated
- Jun 13, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13335 | WI | Primary |
Addresses
Primary practice location
323 E Highland Dr
Oconto Falls, WI 54154-1006
Mailing address
PO Box 129
Oconto Falls, WI 54154-0129
Phone (920) 848-3721
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwidt Pharmacy Inc | Current | Accepting new patients | |
| Gwidt Pharmacy Inc | Past | Accepting new patients |
Locations
323 E Highland Dr
Oconto Falls, WI 54154
Phone (920) 848-3721
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.
-
dba Oconto Falls Pharmacy - LongTerm Care
- Long Term Care Pharmacy
- Oconto Falls, WI
- NPI 1922738970
-
dba Oconto Falls Pharmacy
- Community/Retail Pharmacy
- Oconto Falls, WI
- NPI 1245319912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1215324629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541540129",
"telephone_number": "920-848-3721",
"fax_number": "920-848-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E HIGHLAND DR",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541006",
"telephone_number": "920-848-3721",
"fax_number": "920-848-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARRY",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-23",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconto Falls, WI
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Prevea Health-CMH DME Supplier)
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital-Libertas of Oconto Falls)
- St. Clare Memorial Hospital, Inc (HSHS SCO Regional Surgery Center Oconto Falls)
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis (St. Vincent Regional Cancer Center)
- Kylie Michelle Starry, PHARMD
- Stay at Homecare LLC
- Jayne M Stefanic, ISW
- Desirae Jo Steier, PT, DPT
- Michael J Stiennon
- Oscar Arthur Stiennon III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.