Active NPI
Ellen Ladowski
- Pharmacist
- Green Bay, WI
National Provider Identifier
1265860068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10368
- Practice address
- 2786 Candle LN
Green Bay, WI 54304-1662 - Phone
- (920) 494-1632
- Fax
- (920) 494-3410
- NPI assigned
- Oct 15, 2013
- Last updated
- Oct 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 10368 | WI | Primary |
Addresses
Primary practice location
2786 Candle LN
Green Bay, WI 54304-1662
Mailing address
2786 Candle LN
Green Bay, WI 54304-1662
Phone (920) 494-1632
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10368 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1265860068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2786 CANDLE LN",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543041662",
"telephone_number": "920-494-1632",
"fax_number": "920-494-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2786 CANDLE LN",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543041662",
"telephone_number": "920-494-1632",
"fax_number": "920-494-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADOWSKI",
"first_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.