Individual provider Active NPI

Jarod Paul Gingreau, RPH

  • Pharmacist
  • Milwaukee, WI
National Provider Identifier
1700918232
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11464 Issued in WI
Practice address
3781 S Brust Ave
Milwaukee, WI 53207-4061
Phone
(414) 294-0975
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11464 WI Primary

Addresses

Primary practice location

3781 S Brust Ave
Milwaukee, WI 53207-4061

Mailing address

3781 S Brust Ave
Milwaukee, WI 53207-4061
Phone (414) 294-0975

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

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1700918232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 S BRUST AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074061",
            "telephone_number": "414-294-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 S BRUST AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074061",
            "telephone_number": "414-294-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGREAU",
        "first_name": "JAROD",
        "middle_name": "PAUL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.