MS. MARY FANSHAW PHARMD
NPI 1710735501
Pharmacist in Beaver Dam, WI

Active since May 08, 2024
607 PARK AVE, BEAVER DAM, WI 53916(920) 356-0148 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Fanshaw Pharmd NPPES

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

MS. MARY FANSHAW PHARMD (NPI 1710735501) is an individual pharmacist in Beaver Dam, Wisconsin, licensed in Wisconsin (21537-40) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1710735501
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMS. MARY FANSHAWCredential: PHARMD
Location Address607 PARK AVEBeaver Dam, WI 53916-2201
Mailing AddressN7976 N Crystal Lake RdBeaver Dam, WI 53916-9383 · (920) 382-2269
Sole ProprietorNo
Enumeration DateMay 8, 2024
NPPES CertifiedMay 3, 2024
NPI 1710735501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 21537-40
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.
607 PARK AVE, Beaver Dam, WI 53916

Other Providers at the Same Location NPPES 8

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

Pharmacy
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
607 PARK AVE
BEAVER DAM, WI 53916
Pharmacist
607 PARK AVE
BEAVER DAM, WI 53916

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 Mary Fanshaw's NPI number?

The NPI number for Mary Fanshaw is 1710735501. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Mary Fanshaw located?

Mary Fanshaw practices at 607 Park Ave, Beaver Dam, WI 53916. The listed phone number is (920) 356-0148.

What is Mary Fanshaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Fanshaw was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.