Active NPI
Benjamin Jared Jung, PHARMD
- Pharmacist
- Marshfield, WI
National Provider Identifier
1629437306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15772
- Practice address
- 611 N Saint Joseph Ave
Marshfield, WI 54449-1832 - Phone
- (715) 387-9914
- NPI assigned
- Feb 23, 2016
- Sex
- Male
- 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 | 15772 | WI | Primary |
Addresses
Primary practice location
611 N Saint Joseph Ave
Marshfield, WI 54449-1832
Mailing address
317 S 52ND Ave
Wausau, WI 54401-8069
Phone (715) 212-5022
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 |
|---|---|---|---|
| 15772 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1629437306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 S 52ND AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544018069",
"telephone_number": "715-212-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N SAINT JOSEPH AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491832",
"telephone_number": "715-387-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "BENJAMIN",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.