Active NPI
Erica Guetzlaff, PHARMD
- Pharmacist
- Fitchburg, WI
National Provider Identifier
1912569476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14905-040
- Practice address
- 5510 Research Park Dr Ste 150
Fitchburg, WI 53711-5380 - Phone
- (608) 204-7739
- NPI assigned
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 14905-040 | WI | Primary |
Addresses
Primary practice location
5510 Research Park Dr Ste 150
Fitchburg, WI 53711-5380
Mailing address
641 Prairie Grass Rd
Oregon, WI 53575-3827
Phone (608) 395-4503
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14905-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1912569476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 PRAIRIE GRASS RD",
"city": "OREGON",
"state": "WI",
"postal_code": "535753827",
"telephone_number": "608-395-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 RESEARCH PARK DR STE 150",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115380",
"telephone_number": "608-204-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUETZLAFF",
"first_name": "ERICA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WI",
"license": "14905-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, WI
- Group Health Cooperative of South Central Wi - Hatchery Clinic
- Group Health Cooperative of South Central Wisconsin
- Hannah Grover
- Katrina Grunst, PA-C
- William Guetschow, COTA
- Guidance Family Homes LLC
- Gullet Transport Solutions LLC
- Karyn C Gullstrand
- Tanya K. Guntly, PA-C
- Kim Teresa Hackbarth, C.P.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.