Michael Todd Zagelow, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

14297-40 Issued in WI

Practice address

102 S Main St
Fort Atkinson, WI 53538-2014

Phone

(920) 563-2458

Fax

(920) 563-2792

NPI assigned

Nov 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Tuttles Pharmacy Inc

  • Long Term Care Pharmacy
  • Fort Atkinson, WI
  • NPI 1073325429
  NPD
• Janesville Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Janesville, WI
  • NPI 1942753850
  NPD (past)
• Kealey Pharmacy & Home Care Center

  • Community/Retail Pharmacy
  • Janesville, WI
  • NPI 1033243845
  NPD (past)
• Tuttles Pharmacy Inc

  • Community/Retail Pharmacy
  • Fort Atkinson, WI
  • NPI 1033180427
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1427694652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382014",
            "telephone_number": "920-563-2458",
            "fax_number": "920-563-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382014",
            "telephone_number": "920-563-2458",
            "fax_number": "920-563-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535483859",
            "country_code": "US",
            "telephone_number": "608-752-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAGELOW",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14297-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033054500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zach Wilson, D.C.
• Jennifer Ann Winter, MD
• Ernest Theodore Witzke, B.S., M.S.
• Wade W Woelfle, M.D.
• Tina M Yoss I, APNP
• Isidoro V Zambrano, MD
• Abby Lynn Ziegler, FNP-BC
• Dane Alexander Zoske, DPT

• Pharmacist in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.