Active NPI
Devyn Beaugh, PHARM.D.
- Pharmacist
- Beaver Dam, WI
National Provider Identifier
1700350683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19630-40
- Practice address
- 707 S University Ave
Beaver Dam, WI 53916-3027 - Phone
- (920) 887-7181
- NPI assigned
- Jan 14, 2019
- Last updated
- Jan 14, 2019
- 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 | 19630-40 | WI | Primary |
Addresses
Primary practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Mailing address
525 Windsor St # 2
Sun Prairie, WI 53590-2129
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 |
|---|---|---|---|
| 19630-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1700350683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 WINDSOR ST # 2",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY AVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163027",
"telephone_number": "920-887-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUGH",
"first_name": "DEVYN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19630-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, WI
- David C Barton, DO
- Michelle J Bartzen, PA-C
- Seth Mathew Barudin, MD
- Susan Marie Baumann, OTR
- Timothy J Baumann, OTA
- Beaver Dam Al Operations LLC
- Beaver Dam Assisted Living, LLC (Beaver Dam Assisted Living and Memory Care)
- Beaver Dam Community Hospitals Inc (Marshfield Medical Center - Beaver Dam)
- Beaver Dam Community Hospitals Inc ((inactive) Marshfield Medical Center - Beaver Dam Hospitalist Group)
- Beaver Dam Community Hospitals Inc (Marshfield Medical Center - Beaver Dam Pharmacy (Part B Immunization))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.