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LEONORA MITRE
NPI 1174390967
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fond Du Lac, WI

Active since December 11, 2023
55 W PIONEER RD, FOND DU LAC, WI 54935(920) 921-9898 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leonora Mitre NPPES

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

LEONORA MITRE (NPI 1174390967) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fond Du Lac, Wisconsin, licensed in Wisconsin (21526-40) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1174390967
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameLEONORA MITRE
Location Address55 W PIONEER RDFond Du Lac, WI 54935-6151
Mailing Address55 W Pioneer RdFond Du Lac, WI 54935-6151
Phone(920) 921-9898
Sole ProprietorYes
Enumeration DateDecember 11, 2023
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1174390967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 21526-40
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
55 W PIONEER RD, Fond Du Lac, WI 54935
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Other Providers at the Same Location NPPES 2

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

DR. JACOB THOMAS CANNESTRA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
55 W PIONEER RD
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-7780
ROUNDYS SUPERMARKETS INC
Pharmacy (Community/Retail Pharmacy)
55 W PIONEER RD
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-7780

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 Leonora Mitre's NPI number?

The NPI number for Leonora Mitre is 1174390967. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Leonora Mitre located?

Leonora Mitre practices at 55 W Pioneer Rd, Fond Du Lac, WI 54935. The listed phone number is (920) 921-9898.

What is Leonora Mitre's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Leonora Mitre was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.