Active NPI
Randall L Athens, RPH
- Pharmacist
- Eagle River, WI
National Provider Identifier
1811240823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10151-40
- Practice address
- 925 E Wall St
Eagle River, WI 54521-8720 - Phone
- (715) 479-6413
- Fax
- (715) 479-4621
- NPI assigned
- Oct 16, 2012
- Last updated
- Oct 16, 2012
- 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 | 10151-40 | WI | Primary |
Addresses
Primary practice location
925 E Wall St
Eagle River, WI 54521-8720
Mailing address
PO Box 1059
Eagle River, WI 54521-1059
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 |
|---|---|---|---|
| 10151-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T a Solberg Co Inc | Past | Accepting new patients | |
| T a Solberg Co Inc | 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, 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": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1811240823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1059",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545211059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E WALL ST",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545218720",
"telephone_number": "715-479-6413",
"fax_number": "715-479-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHENS",
"first_name": "RANDALL",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10151-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, WI
- Aspirus Eagle River Hospital & Clinics, Inc. (Aspirus Eagle River Hospital)
- Aspirus Eagle River Hospital, Inc (Aspirus Eagle River Hospital)
- Aspirus Eagle River Hospital, Inc. (Aspirus Eagle River Hospital)
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Eagle River Clinic)
- Lawvet Fonbah Asukwa, RPH
- Kris Ann Barnekow, PHD,OTR/L,IMH-E
- Scott David Beattie, DDS
- Marianne Bergs
- Jill K Brunstad, PA
- Veronica Jo Shelby Buchweitz, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.