Individual provider Active NPI

Jacqueline Schabold

  • Compounded Sterile Preparations Pharmacist
  • Brookfield, WI
National Provider Identifier
1487512356
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X
License
18138-40 Issued in WI
Practice address
17729 Nassau Dr
Brookfield, WI 53045-3436
Phone
(773) 759-6225
NPI assigned
Jan 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounded Sterile Preparations Pharmacist 1835C0207X 18138-40 WI Primary

Addresses

Primary practice location

17729 Nassau Dr
Brookfield, WI 53045-3436

Mailing address

17729 Nassau Dr
Brookfield, WI 53045-3436
Phone (773) 759-6225

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
18138-40WIMDMedical license number

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1487512356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17729 NASSAU DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453436",
            "telephone_number": "773-759-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17729 NASSAU DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453436",
            "telephone_number": "773-759-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABOLD",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "WI",
            "license": "18138-40",
            "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 Jan 12, 2026; 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.