Jennifer Kupczyk, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13883-40 Issued in WI

Practice address

36745 Aiken Rd
Bayfield, WI 54814-4579

Phone

(715) 779-3157

Fax

(715) 779-3752

NPI assigned

May 5, 2015

Last updated

May 5, 2015By 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 2

Addresses

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1831576214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36745 AIKEN RD",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144579",
            "telephone_number": "715-779-3157",
            "fax_number": "715-779-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36745 AIKEN RD",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144579",
            "telephone_number": "715-779-3157",
            "fax_number": "715-779-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCZYK",
        "first_name": "JENNIFER",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13883-40",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace M Heitsch, M.D.
• Ellie Heydari, DDS
• Allyssa Kimberly Hoopman
• Patricia M. Kenote-Deperry
• Tamara L Kolesar, LPC-IT, SAC-IT
• Gail Marie Lemieux, SAC
• Michelle Lynn Macdaniels
• Theresa Matusiewicz Popovich, R.D.H
• Jeanna M Morshead-Metelica, MSE, LPC, CSAC
• Dawn Nixon, PSY.D.

• Pharmacist in Bayfield, WI
• Providers in Bayfield, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.