KEITH WAYNE HEROLD
NPI 1265031595
Pharmacist in Green Bay, WI

Q: What is Keith Herold's NPI number?

The NPI number for Keith Herold is 1265031595. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Q: What is Keith Herold's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Herold was last updated on November 3, 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.

Active since October 19, 2020

2440 W MASON ST, GREEN BAY, WI 54303(920) 499-2330(920) 499-1136 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2020, Oct 19, 2020 (2 updates tracked since 2020).

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About Keith Wayne Herold NPPES

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

KEITH WAYNE HEROLD (NPI 1265031595) is an individual pharmacist in Green Bay, Wisconsin, licensed in Wisconsin (12269-040) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1265031595

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameKEITH WAYNE HEROLD

Location Address2440 W MASON STGreen Bay, WI 54303-4711

Mailing Address2080 Sweetfern DrGreen Bay, WI 54313-4366 · (920) 676-6422

Phone(920) 499-2330

Fax(920) 499-1136

Sole ProprietorYes

Enumeration DateOctober 19, 2020

Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration

NPPES CertifiedNovember 3, 2020

✔ NPI 1265031595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in WI · 12269-040

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

2440 W MASON ST, Green Bay, WI 54303

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Other Providers at the Same Location NPPES 12

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

MRS. LINDSEY B JANOWSKI PHARMD

Pharmacist