Stacy Nicole Soppe, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

13742-040 Issued in WI

Practice address

2801 W Kinnickinnic River Pkwy
Family Practice Clinic Anticoagulation Clinic
Milwaukee, WI 53215-3669

Phone

(414) 649-7810

Fax

(414) 649-5437

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689795049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W OKLAHOMA AVE",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154330",
            "telephone_number": "414-649-6063",
            "fax_number": "414-649-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "FAMILY PRACTICE CLINIC ANTICOAGULATION CLINIC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-649-7810",
            "fax_number": "414-649-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPPE",
        "first_name": "STACY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13742-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonoma Personal Care LLC.
• Jill M Sontag, RN, CRNA
• Rachel Miyo Soo Hoo, DPT
• Manu R Sood, MD
• Kathy Ann Sopa, P.T.A.
• Lubna Tayyab Sorathia, M.D.
• Jill A Sorby
• Heather E Sorensen, LPC
• Benjamin Sorenson, DPT
• Roberta Sorenson

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.