Individual provider Active NPI

James August Oettinger, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Beaver Dam, WI
National Provider Identifier
1306724174
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
23140-40 Issued in WI
Practice address
607 Park Ave
Beaver Dam, WI 53916-2201
Phone
(920) 356-0148
Fax
(920) 356-0401
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 23140-40 WI Primary

Addresses

Primary practice location

607 Park Ave
Beaver Dam, WI 53916-2201

Mailing address

607 Park Ave
Beaver Dam, WI 53916-2201
Phone (920) 356-0148

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
23140-40WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 25, 2025 Accepting new patients
Walgreen Co PastSince Aug 25, 2025 Accepting new patients

Locations

607 Park Ave
Beaver Dam, WI 53916
Phone (920) 346-0148

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1306724174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162201",
            "telephone_number": "920-356-0148",
            "fax_number": "920-356-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162201",
            "telephone_number": "920-356-0148",
            "fax_number": "920-356-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTINGER",
        "first_name": "JAMES",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "23140-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.