Active NPI
Ann Katharine Bloodgood, RPH
- Pharmacist
- Appleton, WI
National Provider Identifier
1679786552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12527
- Practice address
- 1506 S Oneida St
Appleton, WI 54915-1305 - Phone
- (920) 738-2483
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12527 | WI | Primary |
| Pharmacist | 183500000X | 5302031048 | MI |
Addresses
Primary practice location
1506 S Oneida St
Appleton, WI 54915-1305
Mailing address
2748 Sherry LN
Green Bay, WI 54302-5136
Phone (920) 915-3088
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031048 | MI | MD | Pharmacist |
| 12527 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679786552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2748 SHERRY LN",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543025136",
"telephone_number": "920-915-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151305",
"telephone_number": "920-738-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOODGOOD",
"first_name": "ANN",
"middle_name": "KATHARINE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12527",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.