Individual provider Active NPI

Elizabeth Ann Nowakowski, PHARMACIST

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1245513019
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11763 Issued in WI
Practice address
2410 W Forest Home Ave
Walgreen Company
Milwaukee, WI 53215-2527
Phone
(414) 383-3414
Fax
(414) 383-3588
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11763 WI Primary

Addresses

Primary practice location

2410 W Forest Home Ave
Walgreen Company
Milwaukee, WI 53215-2527

Mailing address

2410 W Forest Home Ave
Walgreen Company
Milwaukee, WI 53215-2527
Phone (414) 383-3414

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

State licenses

LicenseStateTypeSpecialty
11763WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1245513019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W FOREST HOME AVE",
            "address_2": "WALGREEN COMPANY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152527",
            "telephone_number": "414-383-3414",
            "fax_number": "414-383-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W FOREST HOME AVE",
            "address_2": "WALGREEN COMPANY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152527",
            "telephone_number": "414-383-3414",
            "fax_number": "414-383-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

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

Verify at the official NPI Registry.