Individual provider Active NPI

Debbie Sade Isiekwene, PHARMD

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1083244685
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1854640 Issued in WI
Practice address
5715 W Appleton Ave
Milwaukee, WI 53210-2250
Phone
(414) 988-2188
Fax
(414) 988-2187
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1854640 WI Primary

Addresses

Primary practice location

5715 W Appleton Ave
Milwaukee, WI 53210-2250

Mailing address

5715 W Appleton Ave
Milwaukee, WI 53210-2250
Phone (414) 988-2188

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

LicenseStateTypeSpecialty
1854640WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Xperience Pharmacy LLC CurrentSince Jan 26, 2020 Accepting new patients
Xperience Pharmacy 2 LLC CurrentSince May 4, 2025 Accepting new patients

Locations

5715 W Appleton Ave
Milwaukee, WI 53210
Phone (414) 988-2188

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1083244685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102250",
            "telephone_number": "414-988-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102250",
            "telephone_number": "414-988-2188",
            "fax_number": "414-988-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIEKWENE",
        "first_name": "DEBBIE",
        "middle_name": "SADE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "1854640",
            "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 Jan 22, 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.