Active NPI
Jeffrey McDonald
- Pharmacist
- Prairie Du Chien, WI
National Provider Identifier
1265030902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18839-40
- Practice address
- 38020 US Highway 18
Prairie Du Chien, WI 53821-8206 - Phone
- (608) 326-5103
- Fax
- (608) 326-2168
- NPI assigned
- Oct 14, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 18839-40 | WI | Primary |
Addresses
Primary practice location
38020 US Highway 18
Prairie Du Chien, WI 53821-8206
Mailing address
455 S Van Buren St
Lancaster, WI 53813-2038
Phone (608) 778-5369
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18839-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1265030902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S VAN BUREN ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132038",
"telephone_number": "608-778-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38020 US HIGHWAY 18",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "538218206",
"telephone_number": "608-326-5103",
"fax_number": "608-326-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18839-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Du Chien, WI
- Colleen Martin, P.T.
- Nicole D Martin, SLP
- Samantha Martin, MSW, CAPSW
- Kevin Dale Mathis, PHARMD
- Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System - Franciscan Healthcare Prairie du Chien)
- Jennifer A McLellan, M.D.
- Tamara McReynolds, S.L.P
- Christopher J Mees, MD
- Michelle Mertens-Dodgen, ARNP
- Kristen Mezera, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.