Individual provider Active NPI

Jennifer Rae Robson, PHARMD

  • Pharmacist
  • Viroqua, WI
National Provider Identifier
1487288957
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18468-40 Issued in WI
Practice address
517 N Main St
Viroqua, WI 54665-1453
Phone
(608) 637-8408
Fax
(608) 637-8484
NPI assigned
Feb 24, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18468-40 WI Primary

Addresses

Primary practice location

517 N Main St
Viroqua, WI 54665-1453

Mailing address

517 N Main St
Viroqua, WI 54665-1453
Phone (608) 637-8408

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

LicenseStateTypeSpecialty
18468-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 1, 2022 Accepting new patients

Locations

517 N Main St
Viroqua, WI 54665
Phone (608) 637-8405

Organizations & group practices 1

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1487288957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651453",
            "telephone_number": "608-637-8408",
            "fax_number": "608-637-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651453",
            "telephone_number": "608-637-8408",
            "fax_number": "608-637-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSON",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18468-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.