Timothy Dreier, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11385-40 Issued in WI

Practice address

117 S Main St
Shawano, WI 54166-2357

Phone

(715) 526-2011

Fax

(715) 524-6377

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

No

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.

• Dreier Pharmacy and Gift Shop Inc

  • Long Term Care Pharmacy
  • Shawano, WI
  • NPI 1366067654
  NPD Authorized official
• Dreier Pharmacy and Gift Shop Inc

  • Pharmacist
  • Shawano, WI
  • NPI 1952382178
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2020.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1366043325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662357",
            "telephone_number": "715-526-2011",
            "fax_number": "715-524-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662357",
            "telephone_number": "715-526-2011",
            "fax_number": "715-524-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREIER",
        "first_name": "TIMOTHY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11385-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://stores.healthmart.com/dreierpharmacy",
            "affiliation": "N",
            "endpointDescription": "Store webite used to let us know when refill are ready",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 S Main St",
            "city": "Shawano",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541662357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Milton Dovorany, DDS
• Bree Downie
• Roxanne Doyle Keszo, OD
• Dreier Pharmacy and Gift Shop Inc
• Dreier Pharmacy and Gift Shop Inc
• Cassandra Ebeling
• Rebecca A Egan, MSE
• Sally Susan Egan, ATC, LAT, CSCS
• Kathleen Marie Elertson, NP
• Lisa Marie Ellickson-Albert, MA, BCBA

• All providers in Shawano, WI
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.