Joanne Antonopoulos, PHARM.D.
Individual provider Active NPI Pharmacist · Mukwonago, WI
NPI 1851667653 · NPPES record last updated Mar 26, 2012
Key facts
- NPI
- 1851667653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12031 (WI)
- Practice address
- W248S8510 Stonehill Dr
Mukwonago, WI 53149-8873 - Phone
- (262) 706-3080
- NPI assigned
- Mar 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12031 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12031 | WI | Yes |
Addresses
Primary practice location
W248S8510 Stonehill Dr
Mukwonago, WI 53149-8873
Mailing address
W248S8510 Stonehill Dr
Mukwonago, WI 53149-8873
Phone (262) 706-3080
Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2012. 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.