Active NPI
Sandra Marie Wucki, RPH
- Pharmacist
- Sussex, WI
National Provider Identifier
1538446729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14571-040
- Practice address
- N65W25055 Main St
Sussex, WI 53089-2671 - Phone
- (262) 820-0750
- Fax
- (262) 820-1015
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 14571-040 | WI | Primary |
Addresses
Primary practice location
N65W25055 Main St
Sussex, WI 53089-2671
Mailing address
355 Westlyn CT
Hartland, WI 53029-8556
Phone (262) 369-0196
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14571-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1538446729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 WESTLYN CT",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530298556",
"telephone_number": "262-369-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N65W25055 MAIN ST",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530892671",
"telephone_number": "262-820-0750",
"fax_number": "262-820-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUCKI",
"first_name": "SANDRA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14571-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.