Active NPI
Jeffrey P Jensen, R.PH.
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1073540530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9886
- Practice address
- 10201 W Innovation Dr
Suite 600
Milwaukee, WI 53226-4822 - Phone
- (414) 410-8110
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9886 | WI | Primary |
| Pharmacist | 183500000X | 12348 | CO |
Addresses
Primary practice location
10201 W Innovation Dr
Suite 600
Milwaukee, WI 53226-4822
Mailing address
W336N6437 Lakeview LN
Oconomowoc, WI 53066-1926
Phone (630) 373-9371
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12348 | CO | MD | Pharmacist |
| 9886 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1073540530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W336N6437 LAKEVIEW LN",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530661926",
"telephone_number": "630-373-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 W INNOVATION DR",
"address_2": "SUITE 600",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264822",
"telephone_number": "414-410-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JEFFREY",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9886",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "12348",
"primary": false
}
],
"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 Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.