Active NPI
Jude P Jean-Pierre
- Pharmacist
- Appleton, WI
National Provider Identifier
1821622309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12625
- Practice address
- 133 E College Ave
Appleton, WI 54911 - Phone
- (920) 470-7480
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- 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 | 183500000X | 12625 | WI | Primary |
Addresses
Primary practice location
133 E College Ave
Appleton, WI 54911
Mailing address
133 E College Ave
Appleton, WI 54911
Phone (920) 470-7480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jude@rxlink.biz | Direct |
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 |
|---|---|---|---|
| 12625 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Clinicians LLC | Current | Accepting new patients | |
| University RX LLC | Current | Accepting new patients |
Locations
133 E College Ave
Appleton, WI 54911
Phone (920) 470-7480
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba University Clinicians Mini-Clinic
- Health Service Clinic/Center
- Appleton, WI
- NPI 1740859347
-
dba RxLink University Pharmacy
- Community/Retail Pharmacy
- Appleton, WI
- NPI 1619524766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1821622309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-470-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "54911",
"telephone_number": "920-470-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-PIERRE",
"first_name": "JUDE",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12625",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jude@rxlink.biz",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "133 E College Ave",
"city": "Appleton",
"state": "WI",
"country_code": "US",
"postal_code": "549115710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.