Active NPI
Jessica Lynn Skudlarczyk, PHARMD
- Pharmacist
- Menomonee Falls, WI
National Provider Identifier
1003672536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14176
- Practice address
- N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102 - Phone
- (414) 805-5690
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14176 | WI | Primary |
Addresses
Primary practice location
N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102
Mailing address
N23W23827 Talon CT
Waukesha, WI 53188-1829
Phone (262) 617-6658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14176 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1003672536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N23W23827 TALON CT",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881829",
"telephone_number": "262-617-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N86W12999 NIGHTINGALE WAY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512102",
"telephone_number": "414-805-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUDLARCZYK",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.