Active NPI
Jamie Palzkill, PHARMD
- Pharmacist
- Platteville, WI
National Provider Identifier
1639515547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16724-40
- Practice address
- 675 S Water St
Platteville, WI 53818-3608 - Phone
- (608) 348-7611
- Fax
- (608) 348-7617
- NPI assigned
- May 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16724-40 | WI | Primary |
Addresses
Primary practice location
675 S Water St
Platteville, WI 53818-3608
Mailing address
675 S Water St
Platteville, WI 53818-3608
Phone (608) 348-7611
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 |
|---|---|---|---|
| 16724-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Platteville, WI
- NPI 1023271665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368835200000",
"number": "1639515547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 S WATER ST",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538183608",
"telephone_number": "608-348-7611",
"fax_number": "608-348-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S WATER ST",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538183608",
"telephone_number": "608-348-7611",
"fax_number": "608-348-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALZKILL",
"first_name": "JAMIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-18",
"last_updated": "2013-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16724-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.