Individual provider Active NPI

Amy Schellpfeffer, RPH

  • Pharmacist
  • Monona, WI
National Provider Identifier
1265785752
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12907-40 Issued in WI
Practice address
2101 W Broadway
Monona, WI 53713-1638
Phone
(608) 222-2066
Fax
(608) 222-0578
NPI assigned
Oct 21, 2012
Last updated
Oct 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12907-40 WI Primary

Addresses

Primary practice location

2101 W Broadway
Monona, WI 53713-1638

Mailing address

1117 Velvet Leaf Dr
Madison, WI 53719-4509
Phone (608) 833-8473

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

LicenseStateTypeSpecialty
12907-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1265785752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 VELVET LEAF DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194509",
            "telephone_number": "608-833-8473",
            "fax_number": "608-222-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W BROADWAY",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131638",
            "telephone_number": "608-222-2066",
            "fax_number": "608-222-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLPFEFFER",
        "first_name": "AMY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12907-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.