Active NPI
Brian Wojcik, PHARMD
- Pharmacist
- Shawano, WI
National Provider Identifier
1689273898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16913-40
- Practice address
- 1244 E Green Bay St
Shawano, WI 54166-2208 - Phone
- (715) 524-5983
- Fax
- (715) 526-5549
- NPI assigned
- Oct 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16913-40 | WI | |
| Pharmacist | 183500000X | 16913-40 | MT | Primary |
Addresses
Primary practice location
1244 E Green Bay St
Shawano, WI 54166-2208
Mailing address
W277 Old 29 Dr
Green Bay, WI 54313-9103
Phone (920) 676-7874
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 |
|---|---|---|---|
| 16913-40 | MT | MD | Pharmacist |
| 16913-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1689273898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W277 OLD 29 DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543139103",
"telephone_number": "920-676-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 E GREEN BAY ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662208",
"telephone_number": "715-524-5983",
"fax_number": "715-526-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIK",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16913-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "16913-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.