Melissa Sargent, PHARMD

Individual provider Active NPI Pharmacist · Fox Point, WI

NPI 1568097004 · NPPES record last updated Mar 5, 2020

Key facts

NPI
1568097004
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
19921-40 (WI)
Practice address
8661 N Port Washington Rd
Fox Point, WI 53217-2209
Phone
(414) 540-6836
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19921-40WIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19921-40 WI Yes

Addresses

Primary practice location

8661 N Port Washington Rd
Fox Point, WI 53217-2209

Mailing address

8661 N Port Washington Rd
Fox Point, WI 53217-2209
Phone (414) 540-6836

Other providers in Fox Point, WI

All providers in Fox Point, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.