Organization Active NPI

Jerome Drugs Inc

  • Community/Retail Pharmacy
  • Muskego, WI
National Provider Identifier
1114078904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7799 Issued in WI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.