Active NPI
Christopher Terlaje
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1124493424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14313-40
- Practice address
- 1674 N Van Buren St
Milwaukee, WI 53202-2018 - Phone
- (414) 698-4331
- NPI assigned
- Dec 11, 2015
- Sex
- Male
- 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 | 14313-40 | WI | Primary |
Addresses
Primary practice location
1674 N Van Buren St
Milwaukee, WI 53202-2018
Mailing address
1674 N Van Buren St
Milwaukee, WI 53202-2018
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14313-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1124493424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 N VAN BUREN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1674 N VAN BUREN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022018",
"telephone_number": "414-698-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERLAJE",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14313-40",
"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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.