Active NPI
Tracy Ann Junker
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Saint Francis, WI
National Provider Identifier
1740565217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10570-040
- Practice address
- 2717 E Denton Ave
Saint Francis, WI 53235-5447 - Phone
- (414) 483-5571
- NPI assigned
- Oct 17, 2011
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10570-040 | WI | Primary |
Addresses
Primary practice location
2717 E Denton Ave
Saint Francis, WI 53235-5447
Mailing address
2717 E Denton Ave
Saint Francis, WI 53235-5447
Phone (414) 483-5571
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10570-040 | WI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1740565217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 E DENTON AVE",
"city": "SAINT FRANCIS",
"state": "WI",
"postal_code": "532355447",
"telephone_number": "414-483-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 E DENTON AVE",
"city": "SAINT FRANCIS",
"state": "WI",
"postal_code": "532355447",
"telephone_number": "414-483-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNKER",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WI",
"license": "10570-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Francis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.