Active NPI
Andrew Friedley
- Ambulatory Care Pharmacist
- Lac Du Flambeau, WI
National Provider Identifier
1841801388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 14584-40
- Practice address
- 129 Old Abe Rd
Lac Du Flambeau, WI 54538-9386 - Phone
- (715) 588-3371
- NPI assigned
- Aug 10, 2020
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 14584-40 | WI | Primary |
Addresses
Primary practice location
129 Old Abe Rd
Lac Du Flambeau, WI 54538-9386
Mailing address
5836 Rest Lake Rd
Manitowish Waters, WI 54545-6394
Phone (262) 349-3073
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14584-40 | WI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1841801388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5836 REST LAKE RD",
"city": "MANITOWISH WATERS",
"state": "WI",
"postal_code": "545456394",
"telephone_number": "262-349-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 OLD ABE RD",
"city": "LAC DU FLAMBEAU",
"state": "WI",
"postal_code": "545389386",
"telephone_number": "715-588-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLEY",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "WI",
"license": "14584-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lac Du Flambeau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.