Cory Briggs
Individual provider Active NPI Pharmacist · Little Chute, WI
NPI 1992338693 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1992338693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20048-40 (WI)
- Practice address
- 219 W Main St
Little Chute, WI 54140-1751 - Phone
- (920) 687-6193
- NPI assigned
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20048-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
219 W Main St
Little Chute, WI 54140
Phone (920) 687-6190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20048-40 | WI | Yes |
Addresses
Primary practice location
219 W Main St
Little Chute, WI 54140-1751
Mailing address
219 W Main St
Little Chute, WI 54140-1751
Phone (920) 687-6193
Other providers in Little Chute, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2020. 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.