Active NPI
Vongpadith Douangphachanh, PHARMD
- Pharmacist
- Brown Deer, WI
National Provider Identifier
1750772182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16601-40
- Practice address
- 9200 N Green Bay Rd
Brown Deer, WI 53209-1104 - Phone
- (414) 354-7213
- Fax
- (414) 354-7932
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 183500000X | 16601-40 | WI | Primary |
Addresses
Primary practice location
9200 N Green Bay Rd
Brown Deer, WI 53209-1104
Mailing address
1819 Main St
Green Bay, WI 54302-3918
Phone (920) 469-3436
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 |
|---|---|---|---|
| 16601-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roundys Supermarkets Inc | Past | Accepting new patients | |
| Roundys Supermarkets Inc | Past | Accepting new patients | |
| Roundys Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Marshfield, WI
- NPI 1013484997
-
- Community/Retail Pharmacy
- Brown Deer, WI
- NPI 1023280567
-
- Community/Retail Pharmacy
- Green Bay, WI
- NPI 1043475379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1750772182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 MAIN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543023918",
"telephone_number": "920-469-3436",
"fax_number": "920-469-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 N GREEN BAY RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091104",
"telephone_number": "414-354-7213",
"fax_number": "414-354-7932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUANGPHACHANH",
"first_name": "VONGPADITH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16601-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.