Active NPI
Christopher John Witzany, R. PH.
- Pharmacist
- Grantsburg, WI
National Provider Identifier
1275544967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11045-040
- Practice address
- 122 W. Madison Ave.
Grantsburg, WI 54840 - Phone
- (715) 463-2525
- Fax
- (715) 463-5343
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11045-040 | WI | Primary |
Addresses
Primary practice location
122 W. Madison Ave.
Grantsburg, WI 54840
Mailing address
PO Box 39
Grantsburg, WI 54840-0039
Phone (715) 463-2525
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 |
|---|---|---|---|
| 11045-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellicose International Inc. | Past | Accepting new patients | |
| Bellicose International Inc. | Past | Accepting new patients |
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 Wood River Pharmacy Long Term Care
- Long Term Care Pharmacy
- Grantsburg, WI
- NPI 1528625985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275544967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "GRANTSBURG",
"state": "WI",
"postal_code": "548400039",
"telephone_number": "715-463-2525",
"fax_number": "715-463-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W. MADISON AVE.",
"city": "GRANTSBURG",
"state": "WI",
"postal_code": "54840",
"telephone_number": "715-463-2525",
"fax_number": "715-463-5343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITZANY",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "R. PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11045-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grantsburg, WI
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.