Individual provider Active NPI

Andrew Roger Lindloff, PHARMD

  • Pharmacist
  • New Richmond, WI
National Provider Identifier
1316371917
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15061-40 Issued in WI
Practice address
110 W 4TH St
New Richmond, WI 54017-1722
Phone
(715) 246-2186
Fax
(715) 246-7115
NPI assigned
Aug 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118479 MN
Pharmacist 183500000X 15061-40 WI Primary

Addresses

Primary practice location

110 W 4TH St
New Richmond, WI 54017-1722

Mailing address

110 W 4TH St
New Richmond, WI 54017-1722
Phone (715) 246-2186

Other names 1

  • Dr. Andy Roger Lindloff Other name

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

LicenseStateTypeSpecialty
118479MNMDPharmacist
15061-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1316371917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171722",
            "telephone_number": "715-246-2186",
            "fax_number": "715-246-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171722",
            "telephone_number": "715-246-2186",
            "fax_number": "715-246-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLOFF",
        "first_name": "ANDREW",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118479",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15061-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "LINDLOFF",
            "middle_name": "ROGER",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.