Active NPI
Christine B Maslonkowski, RPH, MPH
- Geriatric Pharmacist
- Eau Claire, WI
National Provider Identifier
1750576021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 12034040
- Practice address
- 2240 E Ridge Ctr
Eau Claire, WI 54701-3410 - Phone
- (715) 858-7008
- Fax
- (715) 838-2910
- NPI assigned
- Sep 10, 2007
- Last updated
- Sep 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 12034040 | WI | Primary |
| Geriatric Pharmacist | 1835G0303X | 113308 | MN |
Addresses
Primary practice location
2240 E Ridge Ctr
Eau Claire, WI 54701-3410
Mailing address
2240 E Ridge Ctr
Eau Claire, WI 54701-3410
Phone (715) 858-7008
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 |
|---|---|---|---|
| 113308 | MN | MD | Geriatric Pharmacist |
| 12034040 | WI | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1750576021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E RIDGE CTR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013410",
"telephone_number": "715-858-7008",
"fax_number": "715-838-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E RIDGE CTR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013410",
"telephone_number": "715-858-7008",
"fax_number": "715-838-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASLONKOWSKI",
"first_name": "CHRISTINE",
"middle_name": "B",
"credential": "RPH, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WI",
"license": "12034040",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MN",
"license": "113308",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.