Active NPI
Gretchen Lynn Konrardy, PHARMD
- Pharmacist
- Lancaster, WI
National Provider Identifier
1578692000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19813
- Practice address
- 139 W Maple St
Lancaster, WI 53813-1640 - Phone
- (608) 723-4737
- Fax
- (608) 723-4735
- NPI assigned
- Mar 2, 2007
- Last updated
- May 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.295474 | IL | |
| Pharmacist | 183500000X | 16623-40 | WI | |
| Pharmacist | 183500000X | 19813 | IA | Primary |
Addresses
Primary practice location
139 W Maple St
Lancaster, WI 53813-1640
Mailing address
139 W Maple St
Lancaster, WI 53813-1640
Phone (608) 723-4737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014530 | Medicaid | IA |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19813 | IA | MD | Pharmacist |
| 051.295474 | IL | MD | Pharmacist |
| 16623-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartig Drug Co Corp | Past | Accepting new patients | |
| Hartig Drug Co Corp | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Lancaster, WI
- NPI 1497852065
-
- Long Term Care Pharmacy
- Waukon, IA
- NPI 1740592591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1578692000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 W MAPLE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538131640",
"telephone_number": "608-723-4737",
"fax_number": "608-723-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 W MAPLE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538131640",
"telephone_number": "608-723-4737",
"fax_number": "608-723-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONRARDY",
"first_name": "GRETCHEN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.295474",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16623-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014530",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.