Active NPI
Devin Edward Jones, PHARMD
- Pharmacy
- Milwaukee, WI
National Provider Identifier
1073139044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 20286-40
- Practice address
- 6442 N 76TH St
Milwaukee, WI 53223-6102 - Phone
- (414) 353-5620
- NPI assigned
- Jun 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 20286-40 | WI | Primary |
Addresses
Primary practice location
6442 N 76TH St
Milwaukee, WI 53223-6102
Mailing address
N72W13536 Lund LN Unit 314
Menomonee Falls, WI 53051-7104
Phone (815) 618-8957
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 |
|---|---|---|---|
| 20286-40 | WI | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1073139044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N72W13536 LUND LN UNIT 314",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530517104",
"telephone_number": "815-618-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6442 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532236102",
"telephone_number": "414-353-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEVIN",
"middle_name": "EDWARD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "20286-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.