Individual provider Active NPI

Cheryl Ann Zambrowicz, PHARMD

  • Pharmacist
  • Green Bay, WI
National Provider Identifier
1669818696
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15904 Issued in WI
Practice address
2320 Lineville Rd
Green Bay, WI 54313-8836
Phone
(920) 434-5846
Fax
(920) 434-5228
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15904 WI Primary

Addresses

Primary practice location

2320 Lineville Rd
Green Bay, WI 54313-8836

Mailing address

2320 Lineville Rd
Green Bay, WI 54313-8836
Phone (920) 434-5846

Other identifiers 1

IdentifierTypeStateIssuer
36224100MedicaidWI

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

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1669818696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 LINEVILLE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138836",
            "telephone_number": "920-434-5846",
            "fax_number": "920-434-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 LINEVILLE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543138836",
            "telephone_number": "920-434-5846",
            "fax_number": "920-434-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBROWICZ",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36224100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.