Active NPI
Megan Mae Clement, PHARMD
- Pharmacist
- South Milwaukee, WI
National Provider Identifier
1447690359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17017-40
- Practice address
- 2985 S Chicago Ave
South Milwaukee, WI 53172-3133 - Phone
- (414) 762-9653
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- 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 | 17017-40 | WI | Primary |
Addresses
Primary practice location
2985 S Chicago Ave
South Milwaukee, WI 53172-3133
Mailing address
W158S7646 Quietwood Dr
Muskego, WI 53150-8393
Phone (847) 373-9024
Other names 1
- Megan Mae Erickson
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17017-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1447690359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W158S7646 QUIETWOOD DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531508393",
"telephone_number": "847-373-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 S CHICAGO AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531723133",
"telephone_number": "414-762-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "MEGAN",
"middle_name": "MAE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17017-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "ERICKSON",
"middle_name": "MAE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.