Mary Ellen F Pumper, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11937-040 Issued in WI

Practice address

861 County Rd F
Berlin, WI 54923

Phone

(920) 361-3433

Fax

(920) 361-0235

NPI assigned

Oct 21, 2020

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 names 1

• Mary E Pumper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Berlin, WI
  • NPI 1447277595
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1053910067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 ROBIN AVE APT N206",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549028741",
            "telephone_number": "920-231-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 COUNTY RD F",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "54923",
            "telephone_number": "920-361-3433",
            "fax_number": "920-361-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPER",
        "first_name": "MARY ELLEN",
        "middle_name": "F",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11937-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PUMPER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northeast Wisconsin Foot and Ankle Assoc., S.C.
• David P. Parker, PT
• Ruchita Jayeshkumar Patel, PHARMD
• Abigail K Puglisi, DO
• Michael A Puglisi, PA-C
• Anthony J. Racki, MD
• Emily Anne Rademacher, COTA
• Vicki Christine Ray, DNP APNP
• Ty Rebedew
• Sherry Lynn Reinsbach, OTA

• Pharmacist in Berlin, WI
• Providers in Berlin, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.