Individual provider Active NPI

Elisabeth Wygant

  • Pharmacist
  • Oscoda, MI
National Provider Identifier
1548857204
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302044751 Issued in MI
Practice address
212 S State St
Oscoda, MI 48750-1635
Phone
(989) 739-7585
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302044751 MI Primary

Addresses

Primary practice location

212 S State St
Oscoda, MI 48750-1635

Mailing address

PO Box 130
Oscoda, MI 48750-0130

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

State licenses

LicenseStateTypeSpecialty
5302044751MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gilberts Drug Store Inc CurrentSince Mar 30, 2025 Accepting new patients
Gilberts Drug Store Inc PastSince Jan 3, 2021 Accepting new patients

Locations

212 S State St
Oscoda, MI 48750
Phone (989) 739-7585

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1548857204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487500130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S STATE ST",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501635",
            "telephone_number": "989-739-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYGANT",
        "first_name": "ELISABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302044751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oscoda, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.