Jeff Thomas Pagel, RPH
Individual provider Active NPI Pharmacist · Oconto Falls, WI
NPI 1811533904 · NPPES record last updated Nov 23, 2019
Key facts
- NPI
- 1811533904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12422 (WI)
- Practice address
- 323 E Highland Dr
Oconto Falls, WI 54154-1006 - Phone
- (920) 848-3721
- Fax
- (920) 848-4374
- NPI assigned
- Nov 23, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12422 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12422 | WI | Yes |
Addresses
Primary practice location
323 E Highland Dr
Oconto Falls, WI 54154-1006
Mailing address
1461 Wyandot CT
Green Bay, WI 54313-6788
Phone (920) 676-0148
Other providers in Oconto Falls, WI
- Oconto Falls Nursing and Rehab LLC
- Oconto Falls Public Schools
- Oconto Hospital & Medical Center, Inc.
- Orthopedic & Sports Medicine Specialists of Green Bay, SC
- Jessica Otten
- Kari Pagel
- Pain Centers of Wisconsin - Oconto Falls, LLC
- Pain Centers of Wisconsin - Oconto Falls, LLC
- Iris Theodora Cinco Perez-Marquardt
- Gavin Paul Peters
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.