Active NPI
Ronay Bjerke
- Pharmacist
- Beaver Dam, WI
National Provider Identifier
1871847731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1684840
- Practice address
- 705 S University Ave
Suite 180
Beaver Dam, WI 53916-3053 - Phone
- (920) 356-0040
- NPI assigned
- Oct 30, 2012
- Last updated
- Oct 30, 2012
- Sex
- Female
- 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 | 1684840 | WI | Primary |
Addresses
Primary practice location
705 S University Ave
Suite 180
Beaver Dam, WI 53916-3053
Mailing address
239 Cherokee Rd
Apt 4
Beaver Dam, WI 53916-1072
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 |
|---|---|---|---|
| 1684840 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1871847731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 CHEROKEE RD",
"address_2": "APT 4",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539161072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S UNIVERSITY AVE",
"address_2": "SUITE 180",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163053",
"telephone_number": "920-356-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJERKE",
"first_name": "RONAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "1684840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.