Individual provider Active NPI

Jana Draeger, PHARM D, RPH

  • Pharmacist
  • Dodgeville, WI
National Provider Identifier
1497987408
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15234-40 Issued in WI
Practice address
206 N Iowa St
Dodgeville, WI 53533-1548
Phone
(608) 935-3661
Fax
(608) 935-2661
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15234-40 WI Primary

Addresses

Primary practice location

206 N Iowa St
Dodgeville, WI 53533-1548

Mailing address

206 N Iowa St
Dodgeville, WI 53533-1548
Phone (608) 935-3661

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15234-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Drug Store, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1497987408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N IOWA ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331548",
            "telephone_number": "608-935-3661",
            "fax_number": "608-935-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N IOWA ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331548",
            "telephone_number": "608-935-3661",
            "fax_number": "608-935-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "JANA",
        "name_prefix": "Mrs.",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15234-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.