Derek Konkol

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

1592740 Issued in WI

Practice address

1850 Plover Rd
Plover, WI 54467-3921

Phone

(715) 344-0066

Fax

(715) 344-6909

NPI assigned

Dec 12, 2015

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1760857007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 PLOVER RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673921",
            "telephone_number": "715-344-0066",
            "fax_number": "715-344-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 PLOVER RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673921",
            "telephone_number": "715-344-0066",
            "fax_number": "715-344-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKOL",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-12",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "1592740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Morgan Kewaygeshik, D.D.S.
• Bethany Kitowski, PTA
• Carolyn Klein, MS/CCC/SLP
• Nathaniel David Klesmith, MD
• Kerry M Kluck
• Deborah L Kosobucki, APNP
• Leah Krueger, MD
• Bruce R Krygowski, MD
• Kathleen Lynnette Kube, LPN
• Lynn Kuklinski, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Plover, WI
• Providers in Plover, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.