Jacqueline Pawlak, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21215-40 Issued in WI

Practice address

4798 S Moorland Rd
New Berlin, WI 53151-7486

Phone

(262) 207-0021

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1801556626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N PROSPECT AVE APT 604",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022411",
            "telephone_number": "414-581-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 S MOORLAND RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517486",
            "telephone_number": "262-207-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLAK",
        "first_name": "JACQUELINE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21215-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cvs.com",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy",
            "address_1": "4798 S Moorland Rd",
            "city": "New Berlin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531517486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Resnick Parsons, MD
• Sirisha Paruchuri, MD
• Tirth R Patel, MD
• Jack L Patzer, BS RPH
• Montine Rene Pauers, NCC, LPC, SAC
• Alissa A Pearson, PT, DPT
• Sheri A. Pellechia, OTR
• Carl J Peluso, M.D.
• Ruth Pena, PA-C
• Nancy Rader Perrin, LCSW

• Pharmacist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.