Daniel J Krenzelok, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9027-40 Issued in WI

Practice address

2677 S Prairie View Rd
Chippewa Falls, WI 54729-7506

Phone

(715) 726-1631

Fax

(715) 726-1587

NPI assigned

Oct 2, 2013

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1578990792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 S PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547297506",
            "telephone_number": "715-726-1631",
            "fax_number": "715-726-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 S PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547297506",
            "telephone_number": "715-726-1631",
            "fax_number": "715-726-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZELOK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9027-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.