JONATHAN MICHAEL KONKOL (NPI# 1285243220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285243220 |
| Entity Type | Individual |
| Full Name | JONATHAN MICHAEL KONKOL |
| Credential | RPH |
| Practice Address |
511 W Calumet St Appleton WI 54915-1462 |
| Mailing Address |
9005 Lake Emily Rd Amherst Junction WI 54407-9568 |
| Practice Telephone | 9207343882 |
| Mailing Telephone | 6082347999 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
20369 | WI | Suppliers |
| Street Address |
511 W CALUMET ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528395522 | Roundys Supermarkets Inc | Pharmacy | 511 W Calumet St, Appleton, WI 54915-1462 | 2009-11-11 |
| 1952901712 | Kay Marie Walcheck | Pharmacist | 511 W Calumet St, Appleton, WI 54915-1462 | 2020-10-29 |
| 1548651326 | Manzil Panchal | Pharmacist | 511 W Calumet St, Appleton, WI 54915-1462 | 2015-02-14 |
| 1689065989 | Angela Sours | Pharmacist | 511 W Calumet St, Appleton, WI 54915-1462 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514504 | Northland Hometown Pharmacy LLC | Pharmacy | 420 E Northland Ave Ste H, Appleton, WI 54911-2159 | 2019-02-14 |
| 1528395522 | Roundys Supermarkets Inc | Pharmacy | 511 W Calumet St, Appleton, WI 54915-1462 | 2009-11-11 |
| 1053645986 | Morton Drug Co Inc | Pharmacy | 2500 E Capitol Dr Ste 1500, Appleton, WI 54911-8735 | 2009-09-24 |
| 1851529101 | Walgreen Co | Pharmacy | 2803 N Meade St, Appleton, WI 54911-1507 | 2009-06-25 |
| 1487895108 | Roundys Supermarkets Inc | Pharmacy | 2700 N Ballard Rd, Appleton, WI 54911-8657 | 2009-03-09 |
| 1487661302 | Walgreen Co | Pharmacy | 1901 S Oneida St, Appleton, WI 54915-1834 | 2006-08-02 |
| 1376565077 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1800 S Kensington Dr, Appleton, WI 54915-4136 | 2006-07-24 |
| 1851325070 | Aurora Pharmacy Inc | Pharmacy | 1919 E Calumet St, Appleton, WI 54915-4741 | 2006-07-11 |
| 1679507891 | Aurora Pharmacy Inc | Pharmacy | 2400 W Wisconsin Ave, Appleton, WI 54914-3109 | 2006-07-11 |
| 1619918588 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 700 W Wisconsin Ave, Appleton, WI 54914-3567 | 2006-06-09 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on JONATHAN MICHAEL KONKOL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.