Individual provider Active NPI

Sue Fehrenbach, RPH

  • Pharmacist
  • Oshkosh, WI
National Provider Identifier
1770877920
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10146-040 Issued in WI
Practice address
1900 S Koeller St
Oshkosh, WI 54902-6153
Phone
(920) 233-4287
Fax
(920) 233-4287
NPI assigned
Jun 6, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10146-040 WI Primary
Pharmacist 183500000X 115917 MN
Pharmacist 183500000X 24544 MI

Addresses

Primary practice location

1900 S Koeller St
Oshkosh, WI 54902-6153

Mailing address

1900 S Koeller St
Oshkosh, WI 54902-6153
Phone (920) 233-4287

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
24544MIMDPharmacist
115917MNMDPharmacist
10146-040WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1770877920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026153",
            "telephone_number": "920-233-4287",
            "fax_number": "920-233-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026153",
            "telephone_number": "920-233-4287",
            "fax_number": "920-233-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRENBACH",
        "first_name": "SUE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10146-040",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115917",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "24544",
            "primary": false
        }
    ],
    "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 Jun 6, 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.

Verify at the official NPI Registry.