Jena Caprioli
Individual provider Active NPI Pharmacist · Butler, WI
NPI 1134535685 · NPPES record last updated Jul 5, 2014
Key facts
- NPI
- 1134535685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16293-40 (WI)
- Practice address
- 12601 W Hampton Ave
Butler, WI 53007-1730 - Phone
- (262) 781-0148
- NPI assigned
- Jul 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16293-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16293-40 | WI | Yes |
Addresses
Primary practice location
12601 W Hampton Ave
Butler, WI 53007-1730
Mailing address
W290N3920 Dry Creek CT
Pewaukee, WI 53072-3157
Phone (608) 215-0328
Other providers in Butler, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.