Dillon Norbert Abhold, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21278-40 Issued in WI

Practice address

2455 Eastern Ave
Plymouth, WI 53073-4240

Phone

(920) 893-5895

Fax

(920) 893-5898

NPI assigned

Jul 7, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Walgreen Co

  • Pharmacy
  • Plymouth, WI
  • NPI 1508871682
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1538892575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4686 SHEEHAN LAKE LN",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530101451",
            "telephone_number": "920-904-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734240",
            "telephone_number": "920-893-5895",
            "fax_number": "920-893-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABHOLD",
        "first_name": "DILLON",
        "middle_name": "NORBERT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21278-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 20-20 Visions LLC
• Hooman Abdolisereshki, DDS
• Mitchell Adams
• Advanced Dental Care Clinic SC
• Advanced Dental Care, S.C.
• Advanced Eyecare, SC
• Aegis Group Practice LLC

• All providers in Plymouth, WI
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.