Active NPI
Jessica R Serpe, PHARM D
- Pharmacy
- Kenosha, WI
National Provider Identifier
1659718153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 8596-42
- Practice address
- 5300 52ND St
Kenosha, WI 53144-2310 - Phone
- (262) 658-8137
- Fax
- (262) 658-8261
- NPI assigned
- May 24, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 8596-42 | WI | Primary |
Addresses
Primary practice location
5300 52ND St
Kenosha, WI 53144-2310
Mailing address
5300 52ND St
Kenosha, WI 53144-2310
Phone (262) 658-8137
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 |
|---|---|---|---|
| 8596-42 | WI | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1659718153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 52ND ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531442310",
"telephone_number": "262-658-8137",
"fax_number": "262-658-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 52ND ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531442310",
"telephone_number": "262-658-8137",
"fax_number": "262-658-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERPE",
"first_name": "JESSICA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "8596-42",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.