Active NPI
Jeff Thomas Pagel, RPH
- Pharmacist
- Oconto Falls, WI
National Provider Identifier
1811533904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12422
- Practice address
- 323 E Highland Dr
Oconto Falls, WI 54154-1006 - Phone
- (920) 848-3721
- Fax
- (920) 848-4374
- NPI assigned
- Nov 23, 2019
- Last updated
- Nov 23, 2019
- 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 | 12422 | WI | Primary |
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
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 |
|---|---|---|---|
| 12422 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574467200000",
"number": "1811533904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 WYANDOT CT",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543136788",
"telephone_number": "920-676-0148",
"fax_number": "920-848-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E HIGHLAND DR",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541006",
"telephone_number": "920-848-3721",
"fax_number": "920-848-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGEL",
"first_name": "JEFF",
"middle_name": "THOMAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-23",
"last_updated": "2019-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oconto Falls, WI
- Oconto Falls Nursing and Rehab LLC (Meadowbrook at Oconto Falls)
- Oconto Falls Public Schools
- Oconto Hospital & Medical Center, Inc. (Bellin Health Oconto Falls)
- Orthopedic & Sports Medicine Specialists of Green Bay, SC
- Jessica Otten, PHARMD
- Kari Pagel
- Pain Centers of Wisconsin - Oconto Falls, LLC
- Pain Centers of Wisconsin - Oconto Falls, LLC
- Iris Theodora Cinco Perez-Marquardt, M.D
- Gavin Paul Peters, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.