Individual provider Active NPI

Adam Jacob Pistiner, PHARM.D

  • Pharmacist
  • Whitefish Bay, WI
National Provider Identifier
1578817375
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16969-40 Issued in WI
Practice address
424 E Silver Spring Dr
Whitefish Bay, WI 53217-5224
Phone
(414) 332-8380
NPI assigned
Oct 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3849 NH
Pharmacist 183500000X 16969-40 WI Primary

Addresses

Primary practice location

424 E Silver Spring Dr
Whitefish Bay, WI 53217-5224

Mailing address

424 E Silver Spring Dr
Whitefish Bay, WI 53217-5224
Phone (414) 332-8380

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

LicenseStateTypeSpecialty
16969-40WIMDPharmacist
3849NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayward Pharmacy Inc. Current Accepting new patients
Dan Fitzgerald Pharmacy,Inc Pharmacist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1578817375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E SILVER SPRING DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175224",
            "telephone_number": "414-332-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E SILVER SPRING DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175224",
            "telephone_number": "414-332-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTINER",
        "first_name": "ADAM",
        "middle_name": "JACOB",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3849",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16969-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.