Jennifer Rose Regalia, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

10972 Issued in WI

Practice address

3184 London Rd
Eau Claire, WI 54701-6834

Phone

(715) 529-0868

Fax

(715) 832-3766

NPI assigned

Oct 19, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1003287863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 OTTER CREEK RD",
            "city": "FALL CREEK",
            "state": "WI",
            "postal_code": "547429378",
            "telephone_number": "715-529-0868",
            "fax_number": "715-832-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 LONDON RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016834",
            "telephone_number": "715-529-0868",
            "fax_number": "715-832-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALIA",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "10972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSING BOARD",
            "identifier": "10972",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew L Reed, CRNA
• Jordan Levi Reed, D.O.
• Kristine K Reesman, DO
• Krissa Kay Reeves, PTA
• Reformedicine, S.C.
• Regis Court Family Dental S.C.
• Traci H Regis, MS, LPC
• Jacob Regner, H.I.S.
• Rehabilitation Hospital of Western Wisconsin, LLC
• Karley Rehrig

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.