Active NPI
Bobbie-Jo Marie King, PHARMD
- Pharmacist
- Brookfield, WI
National Provider Identifier
1659905727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18383-40
- Practice address
- 19333 W North Ave
Brookfield, WI 53045-4198 - Phone
- (262) 785-2106
- NPI assigned
- Feb 27, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18383-40 | WI | Primary |
Addresses
Primary practice location
19333 W North Ave
Brookfield, WI 53045-4198
Mailing address
W245S7360 Heather Ridge Dr
Waukesha, WI 53189-9361
Phone (414) 731-3892
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 |
|---|---|---|---|
| 18383-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1659905727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W245S7360 HEATHER RIDGE DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531899361",
"telephone_number": "414-731-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19333 W NORTH AVE",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454198",
"telephone_number": "262-785-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "BOBBIE-JO",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18383-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.