Active NPI
Jonathan Peter Mueller, PHARMD
- Pharmacist
- Wausau, WI
National Provider Identifier
1447888151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18526
- Practice address
- 102 Central Bridge St
Wausau, WI 54401-2944 - Phone
- (715) 842-0744
- Fax
- (715) 842-0774
- NPI assigned
- Mar 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 18526 | WI | Primary |
Addresses
Primary practice location
102 Central Bridge St
Wausau, WI 54401-2944
Mailing address
102 Central Bridge St
Wausau, WI 54401-2944
Phone (715) 842-0744
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 |
|---|---|---|---|
| 18526 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Glendale, WI
- NPI 1649947573
-
- Pharmacy
- Wausau, WI
- NPI 1831537869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585440000000",
"number": "1447888151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CENTRAL BRIDGE ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544012944",
"telephone_number": "715-842-0744",
"fax_number": "715-842-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRAL BRIDGE ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544012944",
"telephone_number": "715-842-0744",
"fax_number": "715-842-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "JONATHAN",
"middle_name": "PETER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-29",
"last_updated": "2020-03-29",
"certification_date": "2020-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.