Joseph Frederick Grycowski, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

14511-40 Issued in WI

Practice address

729 W Northland Ave
Appleton, WI 54914-1426

Phone

(920) 954-8100

Fax

(920) 954-0379

NPI assigned

Oct 21, 2011

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

Other identifiers 1

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.

• Walgreen Co

  • Pharmacy
  • Appleton, WI
  • NPI 1043225196
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1780960732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141426",
            "telephone_number": "920-954-8100",
            "fax_number": "920-954-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141426",
            "telephone_number": "920-954-8100",
            "fax_number": "920-954-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYCOWSKI",
        "first_name": "JOSEPH",
        "middle_name": "FREDERICK",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14511-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "14511-040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tierney Shannon Grosskopf, M.D.
• Thomas P. Grotenhuis, DDS
• Lisa M Grothe, APNP
• Aaron R Gruber, O.D.
• Michelle L Gruenstern, RN
• Rachael E Grzywa, OTR/L
• Nancy L Gudex, NP
• Amanda M Gueldenzopf, LPC
• Andrea Guenther-Pal, LCSW
• Sierra Guenther, MSN, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.