Active NPI
Thomas Robert Warwick
- Pharmacist
- Wisconsin Dells, WI
National Provider Identifier
1649878018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10034-40
- Practice address
- 130 Commerce St
Wisconsin Dells, WI 53965-8263 - Phone
- (608) 253-5662
- NPI assigned
- Oct 16, 2020
- Last updated
- Oct 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 10034-40 | WI | Primary |
Addresses
Primary practice location
130 Commerce St
Wisconsin Dells, WI 53965-8263
Mailing address
E10047A Buck Bay W
Reedsburg, WI 53959-9629
Phone (608) 393-1547
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10034-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1649878018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E10047A BUCK BAY W",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539599629",
"telephone_number": "608-393-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 COMMERCE ST",
"city": "WISCONSIN DELLS",
"state": "WI",
"postal_code": "539658263",
"telephone_number": "608-253-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARWICK",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10034-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Dells, WI
- Amy Marie Voigt, PTA
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3505)
- Wal-Mart Stores East, LP (Vision Center 30-3505)
- Walgreen Co (Walgreens #06885)
- Jacquelyn Marie Walker, P.T.
- Waters Preventive Medical Center (Waters Integrative Health Center)
- Robert Scott Waters, M.D.
- Paula Marie Weiss, OTR
- Richard K Westphal, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.