NPIMap

Individual provider Active NPI

Janeen Wernecke

  • Pharmacist
  • Bradford, VT
National Provider Identifier
1184096596
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0003301 Issued in VT
Practice address
901 Lower PLN
Bradford, VT 05033-8924
Phone
(802) 222-9292
Fax
(802) 222-5549
NPI assigned
Oct 25, 2015
Last updated
Oct 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033.0003301 VT Primary

Addresses

Primary practice location

901 Lower PLN
Bradford, VT 05033-8924

Mailing address

901 Lower PLN
Bradford, VT 05033-8924
Phone (802) 222-9292

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

LicenseStateTypeSpecialty
033.0003301VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KPH Healthcare Services, Inc. Past Accepting new patients
KPH Healthcare Services, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445731200000",
    "number": "1184096596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LOWER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050338924",
            "telephone_number": "802-222-9292",
            "fax_number": "802-222-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LOWER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050338924",
            "telephone_number": "802-222-9292",
            "fax_number": "802-222-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNECKE",
        "first_name": "JANEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.