Delora Ann Pufall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18700-40 Issued in WI

Practice address

114 W Bayfield St
Washburn, WI 54891-1131

Phone

(715) 373-5588

Fax

(715) 373-0481

NPI assigned

Oct 11, 2018

Sex

Female

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

Doctor of Pharmacy

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 and National Provider Directory roles.

• Brownstone RX

  • Community/Retail Pharmacy
  • Washburn, WI
  • NPI 1568522704
  NPD Authorized official
• Langford Pharmacy of Washburn

  • Community/Retail Pharmacy
  • Washburn, WI
  • NPI 1497281612
  NPD (past) Authorized official

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1750856167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548910040",
            "telephone_number": "715-373-5588",
            "fax_number": "715-373-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W BAYFIELD ST",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911131",
            "telephone_number": "715-373-5588",
            "fax_number": "715-373-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUFALL",
        "first_name": "DELORA",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18700-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizons North, Inc.
• Melissa L Nicoletti, RDH
• Northern Lights Services, Inc.
• Northern Lights Services, Inc.
• Naomi Ruth Olson, P.T.A.
• Linda M Ready, MA,LCSW
• Christen Ann Rice, COTA
• Mikayla Janice Ritola, COTA
• Brooke Ruberg, SLP
• Andrew James Sauter Sargent, LPC-IT

• Pharmacist in Washburn, WI
• Providers in Washburn, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.