Patricia N Ikem

Primary specialty

PharmacistTaxonomy code 183500000X

License

18691 Issued in WI

Practice address

301 W Main St
Watertown, WI 53094-7629

Phone

(920) 206-9588

Fax

(920) 206-9702

NPI assigned

Feb 25, 2020

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Watertown, WI
  • NPI 1740295641
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1235763582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530947629",
            "telephone_number": "920-206-9588",
            "fax_number": "920-206-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530947629",
            "telephone_number": "920-206-9588",
            "fax_number": "920-206-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEM",
        "first_name": "PATRICIA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Earl Hoening, PT
• Richard C Holden, M.D.
• Edward J Hoy, MD
• Nicole L Huggett, D.D.S.
• Laura E Hurlbert, PT, DPT
• Illuminus Retirement Communities, Inc.
• Implexus Wound Care Service LLC
• Margaret Marie Ivers, LPC
• J&J Independent Living AIDS, LLC
• Danielle Rose Jacobson, DPT

• All providers in Watertown, WI
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.