Active NPI
Richard Ottmer, PHARM.D.
- Pharmacist
- Fitchburg, WI
National Provider Identifier
1245508464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16154-040
- Practice address
- 2960 Cahill Main
Fitchburg, WI 53711 - Phone
- (608) 273-4490
- NPI assigned
- Dec 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16154-040 | WI | Primary |
| Pharmacist | 183500000X | 2007026076 | MO |
Addresses
Primary practice location
2960 Cahill Main
Fitchburg, WI 53711
Mailing address
W5440 Sandrock Rd
New Glarus, WI 53574-9498
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007026076 | MO | MD | Pharmacist |
| 16154-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1245508464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5440 SANDROCK RD",
"city": "NEW GLARUS",
"state": "WI",
"postal_code": "535749498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 CAHILL MAIN",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-273-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTMER",
"first_name": "RICHARD",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16154-040",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2007026076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.