Active NPI
Jerome Drugs Inc
- Community/Retail Pharmacy
- Muskego, WI
National Provider Identifier
1114078904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 7799
- Legal business name
- JEROME DRUGS INC
- Practice address
- S75W17301 Janesville Rd
Muskego, WI 53150-9376 - Phone
- (262) 679-1800
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffery J Gottfried, R.PH
- Title
- Pharmacist
- Phone
- (262) 679-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 7799 | WI | Primary |
Addresses
Primary practice location
S75W17301 Janesville Rd
Muskego, WI 53150-9376
Mailing address
PO Box 26
Muskego, WI 53150-0026
Phone (262) 679-1800
National Provider Directory
National Provider Directory- Tax ID family
- Jerome Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Big Bend, WI
- NPI 1487706057
Locations
S75W17301 Janesville Rd
Muskego, WI 53150
Phone (262) 679-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114078904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531500026",
"telephone_number": "262-679-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S75W17301 JANESVILLE RD",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531509376",
"telephone_number": "262-679-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOTTFRIED",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "262-679-1800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "7799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.