Individual provider Active NPI

Christine B Maslonkowski, RPH, MPH

  • Geriatric Pharmacist
  • Eau Claire, WI
National Provider Identifier
1750576021
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
12034040 Issued in WI
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
113308MNMDGeriatric Pharmacist
12034040WIMDGeriatric 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.

Verify at the official NPI Registry.