Individual provider Active NPI

Jennifer Marie Paulus, PHARM D

  • Pharmacist
  • Chippewa Falls, WI
National Provider Identifier
1770853194
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15572-40 Issued in WI
Practice address
13 E Spruce St
Suite 102
Chippewa Falls, WI 54729-2579
Phone
(715) 861-4422
Fax
(715) 861-5141
NPI assigned
Jan 2, 2012
Last updated
Jan 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15572-40 WI Primary

Addresses

Primary practice location

13 E Spruce St
Suite 102
Chippewa Falls, WI 54729-2579

Mailing address

13 E Spruce St
Suite 102
Chippewa Falls, WI 54729-2579
Phone (715) 861-4422

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

LicenseStateTypeSpecialty
15572-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1770853194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E SPRUCE ST",
            "address_2": "SUITE 102",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292579",
            "telephone_number": "715-861-4422",
            "fax_number": "715-861-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E SPRUCE ST",
            "address_2": "SUITE 102",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292579",
            "telephone_number": "715-861-4422",
            "fax_number": "715-861-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15572-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.