Active NPI
Carrie E Daubner, PHARMD
- Pharmacist
- Greendale, WI
National Provider Identifier
1083213243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15158-040
- Practice address
- 5301 S 76TH St
Greendale, WI 53129-1128 - Phone
- (414) 978-9019
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15158-040 | WI | Primary |
Addresses
Primary practice location
5301 S 76TH St
Greendale, WI 53129-1128
Mailing address
4165 S Victoria Cir
New Berlin, WI 53151-6148
Phone (414) 465-9169
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 |
|---|---|---|---|
| 15158-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1083213243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 S VICTORIA CIR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531516148",
"telephone_number": "414-465-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 S 76TH ST",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291128",
"telephone_number": "414-978-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUBNER",
"first_name": "CARRIE",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15158-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.