Active NPI
Jon Scott Phillips, R.PH.
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1649211632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11034
- Practice address
- 826 N Plankinton Ave
Milwaukee, WI 53203-1832 - Phone
- (414) 278-7828
- Fax
- (414) 273-5986
- NPI assigned
- Jun 9, 2006
- 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 | 11034 | WI | Primary |
Addresses
Primary practice location
826 N Plankinton Ave
Milwaukee, WI 53203-1832
Mailing address
4957 N Newhall St
Milwaukee, WI 53217-6049
Phone (414) 332-6344
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 |
|---|---|---|---|
| 11034 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1649211632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 N NEWHALL ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532176049",
"telephone_number": "414-332-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N PLANKINTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031832",
"telephone_number": "414-278-7828",
"fax_number": "414-273-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JON",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.