Individual provider Active NPI

Margaret Colombe, RPH

  • Pharmacist
  • Waukesha, WI
National Provider Identifier
1609401033
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10013-40 Issued in WI
Practice address
1130 W Sunset Dr
Waukesha, WI 53189-8422
Phone
(262) 446-5169
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10013-40 WI Primary

Addresses

Primary practice location

1130 W Sunset Dr
Waukesha, WI 53189-8422

Mailing address

W283N3352 Lakeside Rd
Pewaukee, WI 53072-3332
Phone (414) 704-3457

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Waukesha Direct

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
10013-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1609401033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W283N3352 LAKESIDE RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723332",
            "telephone_number": "414-704-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531898422",
            "telephone_number": "262-446-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBE",
        "first_name": "MARGARET",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10013-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waukesha",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1130 W Sunset Dr",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531898422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.