Paul Kevin Fernholz, R.PH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

9451 Issued in WI

Practice address

115 2ND St
Reedsburg, WI 53959-1602

Phone

(608) 524-3215

Fax

(608) 524-8410

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corcoran Healthcare Enterprises, Inc

  dba Reedsburg Family Prescription Center

  • Community/Retail Pharmacy
  • Reedsburg, WI
  • NPI 1174689616
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1699934802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 2ND ST",
            "address_2": "P.O. BOX 245",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591602",
            "telephone_number": "608-524-3215",
            "fax_number": "608-524-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 2ND ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591602",
            "telephone_number": "608-524-3215",
            "fax_number": "608-524-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNHOLZ",
        "first_name": "PAUL",
        "middle_name": "KEVIN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "9451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Eckes, CADC II, LPC
• Owen Richard Elizondo, RN, TCRN
• Rebecca Lyn Maher Eller, MSPT
• Susan K Ethun, NP
• Everside Health-Land's End Reedsburg
• Kathryn Michele Fitzpatrick, MSE, LPC, NCC
• Sheenah Marie Fitzpatrick, COTA
• Danielle Fleischmann, PHARMD
• Sara Formankiewicz, PA-C
• Daniel Thomas Frey

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.