Active NPI
Stephen D Woxland, RPH
- Pharmacist
- Pardeeville, WI
National Provider Identifier
1902942691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9092
- Practice address
- 135 N Main St
Pardeeville, WI 53954 - Phone
- (608) 429-2325
- Fax
- (608) 429-4895
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 9092 | WI | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9092 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
135 N Main St
Pardeeville, WI 53954
Mailing address
501 Breezy Point Dr
Pardeeville, WI 53954
Phone (608) 429-3178
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33019700 | Medicaid | WI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902942691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BREEZY POINT DR",
"city": "PARDEEVILLE",
"state": "WI",
"postal_code": "53954",
"telephone_number": "608-429-3178",
"fax_number": "608-429-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N MAIN ST",
"city": "PARDEEVILLE",
"state": "WI",
"postal_code": "53954",
"telephone_number": "608-429-2325",
"fax_number": "608-429-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOXLAND",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33019700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pardeeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.