Jessica Spaeth, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

15107-040 Issued in WI

Practice address

2017 Humes Road
T-0809
Janesville, WI 53545

Phone

(608) 757-0834

Fax

(608) 757-0834

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1720374440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 HUMES ROAD",
            "address_2": "T-0809",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 HUMES ROAD",
            "address_2": "T-0809",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545",
            "telephone_number": "608-757-0834",
            "fax_number": "608-757-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAETH",
        "first_name": "JESSICA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15107-040",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette A Soave, OT
• Marcus A Sojka, DPT
• Jui-Han Solverson, NP-C
• Katherine Sommer, PHARMD
• Amy Sosa, PSY.D.
• Holly Spaulding, LPC-T
• Jack Ryan Speckman, OTR
• Baily Sperry
• Julie L Spooner, RN
• Haylie A Sprecher, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.