Active NPI
Jenifer Jo Hug, RPH
- Pharmacist
- Warrens, WI
National Provider Identifier
1174786818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10456
- Practice address
- 23132 Coutland Avenue
Warrens, WI 54666 - Phone
- (608) 320-0643
- NPI assigned
- Jul 2, 2008
- Last updated
- Jul 2, 2008
- Sex
- Female
- 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 | 10456 | WI | Primary |
Addresses
Primary practice location
23132 Coutland Avenue
Warrens, WI 54666
Mailing address
23132 Coutland Avenue
Warrens, WI 54666
Phone (608) 320-0643
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10456 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1174786818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23132 COUTLAND AVENUE",
"city": "WARRENS",
"state": "WI",
"postal_code": "54666",
"telephone_number": "608-320-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23132 COUTLAND AVENUE",
"city": "WARRENS",
"state": "WI",
"postal_code": "54666",
"telephone_number": "608-320-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUG",
"first_name": "JENIFER",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrens, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.