Active NPI
Patricia Fowler
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Oshkosh, WI
National Provider Identifier
1750650453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10505
- Practice address
- 5054 Valley Heights Rd
Oshkosh, WI 54904-9354 - Phone
- (920) 233-0247
- NPI assigned
- Dec 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10505 | WI | Primary |
Addresses
Primary practice location
5054 Valley Heights Rd
Oshkosh, WI 54904-9354
Mailing address
5054 Valley Heights Rd
Oshkosh, WI 54904-9354
Phone (920) 233-0247
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10505 | WI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324857600000",
"number": "1750650453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5054 VALLEY HEIGHTS RD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549049354",
"telephone_number": "920-233-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5054 VALLEY HEIGHTS RD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549049354",
"telephone_number": "920-233-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-26",
"last_updated": "2011-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WI",
"license": "10505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.