Individual provider Active NPI

Jared Morrow

  • Pharmacist
  • Brookfield, WI
National Provider Identifier
1366997439
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15873-40 Issued in WI
Practice address
15170 W Greenfield Ave
Brookfield, WI 53005-7018
Phone
(262) 782-2787
Fax
(262) 785-7942
NPI assigned
Aug 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15873-40 WI Primary

Addresses

Primary practice location

15170 W Greenfield Ave
Brookfield, WI 53005-7018

Mailing address

15170 W Greenfield Ave
Brookfield, WI 53005-7018
Phone (262) 782-2787

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

LicenseStateTypeSpecialty
15873-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1366997439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15170 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057018",
            "telephone_number": "262-782-2787",
            "fax_number": "262-785-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15170 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057018",
            "telephone_number": "262-782-2787",
            "fax_number": "262-785-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15873-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.