Active NPI
Christopher J Parker, PHARM D
- Pharmacist
- Plymouth, WI
National Provider Identifier
1780218222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18821
- Practice address
- 2455 Eastern Ave
Plymouth, WI 53073-4240 - Phone
- (920) 893-5895
- Fax
- (920) 893-5898
- NPI assigned
- Feb 24, 2020
- Last updated
- Feb 24, 2020
- Sex
- Male
- 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 | 18821 | WI | Primary |
Addresses
Primary practice location
2455 Eastern Ave
Plymouth, WI 53073-4240
Mailing address
2455 Eastern Ave
Plymouth, WI 53073-4240
Phone (920) 893-5895
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 |
|---|---|---|---|
| 18821 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2455 Eastern Ave
Plymouth, WI 53073
Phone (920) 893-5895
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1780218222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 EASTERN AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734240",
"telephone_number": "920-893-5895",
"fax_number": "920-893-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 EASTERN AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734240",
"telephone_number": "920-893-5895",
"fax_number": "920-893-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, WI
- Nicol Oppeneer
- David F Osterwind, PA
- Amanda Otte
- Tina Marie Ottman-Boykin, MSE LCSW LPC NCC
- Mauricio E Palencia, MD
- Sandra J Perronne, OT
- Scott R Peschke, MD
- Plymouth Ambulance Service, Inc (Plymouth Ambulance Service)
- Plymouth Care Center LLC (D/B/a Atrium Post Acute Care of Plymouth)
- Plymouth Chiropractic, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.