Jared John Wenzel, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22362-40 Issued in WI

Practice address

701 E Reed Ave
Manitowoc, WI 54220-2129

Phone

(920) 682-3726

NPI assigned

Sep 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Manitowoc, WI
  • NPI 1346282530
  NPD (past)
• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Glendale, WI
  • NPI 1649947573
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1184403628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 W LINFIELD LN",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E REED AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202129",
            "telephone_number": "920-682-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "JARED",
        "middle_name": "JOHN",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "22362-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Wehausen
• Brian E Weitz, PTA
• Patricia Ann Wendland, PTA
• Kimberly Wendling
• Cynthia Fay Wenzel, LPN
• Jacob Daniel Werbeckes, PHARMD
• Elizabeth J Wergin, DPT
• Lee A Werner, NP
• Betsy Jane Wernli, M.D
• Bobbie Jo Whalen

• Pharmacist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Pharmacist in Wisconsin

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