Active NPI
Jay Litzenberg, RPH
- Pharmacist
- Waukesha, WI
National Provider Identifier
1750659090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11522-40
- Practice address
- 221 E Sunset Dr
Waukesha, WI 53189-7603 - Phone
- (262) 542-3981
- NPI assigned
- Dec 1, 2011
- 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 | 11522-40 | WI | Primary |
Addresses
Primary practice location
221 E Sunset Dr
Waukesha, WI 53189-7603
Mailing address
7611 S Mission Hills Dr
Franklin, WI 53132-2141
Phone (414) 427-0927
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11522-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1750659090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 S MISSION HILLS DR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531322141",
"telephone_number": "414-427-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E SUNSET DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897603",
"telephone_number": "262-542-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITZENBERG",
"first_name": "JAY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11522-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.