Individual provider Active NPI

Hannah Marie Duprey, PHARMD

  • Pharmacist
  • Appleton, WI
National Provider Identifier
1174302020
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21440-40 Issued in WI
Practice address
420 E Northland Ave Ste H
Appleton, WI 54911-2159
Phone
(920) 840-6033
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21440-40 WI Primary

Addresses

Primary practice location

420 E Northland Ave Ste H
Appleton, WI 54911-2159

Mailing address

W6395 Sonny Dr Apt 5
Menasha, WI 54952-9023
Phone (920) 475-6090

Other practice location 1

1415 S Commercial St
Neenah, WI 54956-4637
Phone (920) 729-4910

Other practice location 2

109 S Main St Ste B
Brillion, WI 54110-1270
Phone (920) 524-2124

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
21440-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hometown Pharmacy LLC CurrentSince Oct 1, 2023 Accepting new patients
Neenah Hometown Pharmacy LLC Past Accepting new patients

Locations

420 E Northland Ave
Ste H
Appleton, WI 54911
Phone (920) 840-6033

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1174302020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6395 SONNY DR APT 5",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549529023",
            "telephone_number": "920-475-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTHLAND AVE STE H",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112159",
            "telephone_number": "920-840-6033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 S Commercial St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549564637",
            "country_code": "US",
            "telephone_number": "920-729-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Brillion",
            "state": "WI",
            "postal_code": "541101270",
            "country_code": "US",
            "telephone_number": "920-524-2124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREY",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21440-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.