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Peter Cypert

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Hartford, WI

NPI 1548893142 · NPPES record last updated Feb 21, 2020

Key facts

NPI
1548893142
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
1902240 (WI)
Practice address
1400 E Sumner St
Hartford, WI 53027-1641
Phone
(262) 670-1137
NPI assigned
Feb 21, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1902240WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Feb 23, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1902240 WI Yes

Addresses

Primary practice location

1400 E Sumner St
Hartford, WI 53027-1641

Mailing address

1400 E Sumner St
Hartford, WI 53027-1641

Other providers in Hartford, WI

All providers in Hartford, WI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

Sources for this page

Verify at the official NPI Registry.