Active NPI
Jesse Schaetzel, PHARMD
- Pharmacist
- Elm Grove, WI
National Provider Identifier
1518211648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14858-040
- Practice address
- 12500 W Bluemound Rd
Elm Grove, WI 53122-2600 - Phone
- (262) 787-2450
- NPI assigned
- Oct 26, 2012
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 14858-040 | WI | Primary |
Addresses
Primary practice location
12500 W Bluemound Rd
Elm Grove, WI 53122-2600
Mailing address
12500 W Bluemound Rd
Elm Grove, WI 53122-2600
Other practice location 1
1054 E Commerce Blvd
Slinger, WI 53086-9326
Phone (262) 644-5246
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 |
|---|---|---|---|
| 14858-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Pharmacy, 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, 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": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1518211648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 W BLUEMOUND RD",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 W BLUEMOUND RD",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222600",
"telephone_number": "262-787-2450"
}
],
"practiceLocations": [
{
"address_1": "1054 E Commerce Blvd",
"address_purpose": "LOCATION",
"city": "Slinger",
"state": "WI",
"postal_code": "530869326",
"country_code": "US",
"telephone_number": "262-644-5246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAETZEL",
"first_name": "JESSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14858-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elm Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.