Camille Katherine Wissmann, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051037824 Issued in IL

Practice address

1550 Larimer St
Suite 896
Denver, CO 80202-1602

Phone

(720) 336-1530

Fax

(888) 502-0655

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Camille Johnson Wissmann Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1669448742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W WINDTREE DR",
            "address_2": "923 W WINDTREE DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147222",
            "telephone_number": "920-268-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 LARIMER ST",
            "address_2": "SUITE 896",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021602",
            "telephone_number": "720-336-1530",
            "fax_number": "888-502-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSMANN",
        "first_name": "CAMILLE",
        "middle_name": "KATHERINE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051037824",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "29988",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "13629",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "9984",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10702040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "WISSMANN",
            "middle_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leslie Wiseman
• Kaytlin Wisenor, RDN
• Terra Wishon, DPT
• Danielle Marie Wisniewski
• Robin Wisniewski, PHD
• Mark Ryan Wisthoff, D.O.
• Patricia Witherington, PT
• Charlotte Withers, PA-C
• Elizabeth G Withers, MD
• Rebekah Katherine Withers

• Pharmacist in Denver, CO
• Providers in Denver, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.