DR. MARISA KAY GONINEN PHARMD
NPI 1164047684
Pharmacist - Ambulatory Care in Elm Grove, WI

Active since June 10, 2020
12500 W BLUEMOUND RD, ELM GROVE, WI 53122(262) 957-8239 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2020, Jun 10, 2020 (2 updates tracked since 2020).

About Dr. Marisa Kay Goninen Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARISA KAY GONINEN PHARMD (NPI 1164047684) is an individual ambulatory care provider in Elm Grove, Wisconsin, licensed in Wisconsin (18402-40) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1164047684
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameDR. MARISA KAY GONINENCredential: PHARMD
Location Address12500 W BLUEMOUND RDElm Grove, WI 53122-2600
Mailing Address12500 W Bluemound RdElm Grove, WI 53122-2600 · (262) 957-8239
Sole ProprietorNo
Enumeration DateJune 10, 2020
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1164047684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
Licenses Licensed in WI · 18402-40 Licensed in IL · 051302431
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
12500 W BLUEMOUND RD, Elm Grove, WI 53122

Other Names 1

Former Name (1)Dr. Marisa Kay Frey Pharmd

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
12500 W BLUEMOUND RD
ELM GROVE, WI 53122
Pharmacy
12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122
Nurse Practitioner (Family)
12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122
Pharmacist
12500 W BLUEMOUND RD
ELM GROVE, WI 53122
Pharmacist
12500 W BLUEMOUND RD
ELM GROVE, WI 53122
Pharmacy
12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122
Durable Medical Equipment & Medical Supplies
12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Goninen's NPI number?

The NPI number for Marisa Goninen is 1164047684. It was assigned to this individual provider in the NPPES registry on June 10, 2020. The provider is also known as Dr. Marisa Kay Frey Pharmd.

Where is Marisa Goninen located?

Marisa Goninen practices at 12500 W Bluemound Rd, Elm Grove, WI 53122. The listed phone number is (262) 957-8239.

What is Marisa Goninen's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Marisa Goninen was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.