Active NPI
Mary L Prange-Jones, R.PH.
- Pharmacist
- Schofield, WI
National Provider Identifier
1396032801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10205-40
- Practice address
- 2707 Schofield Ave
T-0364
Schofield, WI 54476-2430 - Phone
- (715) 355-1359
- NPI assigned
- Jul 5, 2011
- Last updated
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10205-40 | WI | Primary |
| Pharmacist | 183500000X | PS35858 | FL | |
| Pharmacist | 183500000X | 13685 | CO |
Addresses
Primary practice location
2707 Schofield Ave
T-0364
Schofield, WI 54476-2430
Mailing address
2707 Schofield Ave
T-0364
Schofield, WI 54476-2430
Phone (715) 355-1359
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13685 | CO | MD | Pharmacist |
| PS35858 | FL | MD | Pharmacist |
| 10205-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1396032801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 SCHOFIELD AVE",
"address_2": "T-0364",
"city": "SCHOFIELD",
"state": "WI",
"postal_code": "544762430",
"telephone_number": "715-355-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 SCHOFIELD AVE",
"address_2": "T-0364",
"city": "SCHOFIELD",
"state": "WI",
"postal_code": "544762430",
"telephone_number": "715-355-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRANGE-JONES",
"first_name": "MARY",
"middle_name": "L",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10205-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35858",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schofield, WI
- Mark Dean Peterson, D.C.
- Deborah Ann Piskoty, MA, LMFT,CSAC, ICS
- Brandy Ann Poirier, RN
- Alexis Powell, BCBA
- Joey Powell
- Premise Health of Wisconsin Medical S C (Greenheck Group Wellness Center)
- Nancy Puetz, AUD CCCA
- Quad/Med, LLC
- Quirt Family Dentistry SC
- Quirt Family Dentistry, SC (Quirt Family Dental - Schofield)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.