Individual provider Active NPI

Keith Robert Hoehn, RPH

  • Pharmacist
  • Wausau, WI
National Provider Identifier
1649564527
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11467-40 Issued in WI
Practice address
220 S 18TH Ave
Wausau, WI 54401-4221
Phone
(715) 842-3541
Fax
(715) 845-5306
NPI assigned
Jun 8, 2011
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11467-40 WI Primary

Addresses

Primary practice location

220 S 18TH Ave
Wausau, WI 54401-4221

Mailing address

220 S 18TH Ave
Wausau, WI 54401-4221
Phone (715) 842-3541

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
11467-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerrys Enterprises Inc Current Accepting new patients
Jerrys Enterprises Inc Current Accepting new patients

Locations

220 S 18th Ave
Wausau, WI 54401
Phone (715) 842-3541

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1649564527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 18TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014221",
            "telephone_number": "715-842-3541",
            "fax_number": "715-845-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 18TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014221",
            "telephone_number": "715-842-3541",
            "fax_number": "715-845-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEHN",
        "first_name": "KEITH",
        "middle_name": "ROBERT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11467-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.