Active NPI
Gerald William Knoch, RPH
- Pharmacist
- Brown Deer, WI
National Provider Identifier
1801114277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9121
- Practice address
- 6020 W Brown Deer Rd
Brown Deer, WI 53223-2227 - Phone
- (414) 365-3608
- Fax
- (414) 365-3629
- NPI assigned
- May 11, 2010
- 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 | 9121 | WI | Primary |
Addresses
Primary practice location
6020 W Brown Deer Rd
Brown Deer, WI 53223-2227
Mailing address
3700 N Calhoun Rd
Brookfield, WI 53005-2159
Phone (414) 391-7507
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9121 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Brown Deer, WI
- NPI 1306002548
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1801114277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 N CALHOUN RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052159",
"telephone_number": "414-391-7507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W BROWN DEER RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532232227",
"telephone_number": "414-365-3608",
"fax_number": "414-365-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOCH",
"first_name": "GERALD",
"middle_name": "WILLIAM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.