Individual provider Active NPI

Jenny Aberger, RPH

  • Pharmacist
  • La Crosse, WI
National Provider Identifier
1487992707
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10472-40 Issued in WI
Practice address
2840 21St PL S
La Crosse, WI 54601-7302
Phone
(608) 784-6500
Fax
(608) 784-6504
NPI assigned
Jan 21, 2013
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10472-40 WI Primary

Addresses

Primary practice location

2840 21St PL S
La Crosse, WI 54601-7302

Mailing address

N1546 Hagen Rd
La Crosse, WI 54601-8454
Phone (608) 780-3302

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

LicenseStateTypeSpecialty
10472-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1487992707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1546 HAGEN RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018454",
            "telephone_number": "608-780-3302",
            "fax_number": "608-784-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 21ST PL S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017302",
            "telephone_number": "608-784-6500",
            "fax_number": "608-784-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERGER",
        "first_name": "JENNY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10472-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.