Active NPI
James Paul Nevermann, RPH
- Pharmacist
- Hartland, WI
National Provider Identifier
1104194075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8776
- Practice address
- 423 Merton Ave
Hartland, WI 53029-1506 - Phone
- (262) 367-4751
- Fax
- (262) 367-4905
- NPI assigned
- Dec 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8776 | WI | Primary |
Addresses
Primary practice location
423 Merton Ave
Hartland, WI 53029-1506
Mailing address
423 Merton Ave.
Hartland, WI 53029-1506
Phone (262) 367-4951
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1104194075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 MERTON AVE.",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530291506",
"telephone_number": "262-367-4951",
"fax_number": "262-367-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 MERTON AVE",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530291506",
"telephone_number": "262-367-4751",
"fax_number": "262-367-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVERMANN",
"first_name": "JAMES",
"middle_name": "PAUL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.