Active NPI
Mary Jane Jones, RPH
- Pharmacist
- Black River Falls, WI
National Provider Identifier
1902141344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8350
- Practice address
- 610 West Adams St.
Black River Falls,, WI 54615 - Phone
- (715) 284-4089
- Fax
- (715) 284-1606
- NPI assigned
- Dec 11, 2012
- Last updated
- Dec 11, 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 | 8350 | WI | Primary |
Addresses
Primary practice location
610 West Adams St.
Black River Falls,, WI 54615
Mailing address
P.O. Box 156
610 W. Adams St
Black River Falls,, WI 54615
Phone (715) 284-4089
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1902141344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 156",
"address_2": "610 W. ADAMS ST",
"city": "BLACK RIVER FALLS,",
"state": "WI",
"postal_code": "54615",
"telephone_number": "715-284-4089",
"fax_number": "715-284-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WEST ADAMS ST.",
"city": "BLACK RIVER FALLS,",
"state": "WI",
"postal_code": "54615",
"telephone_number": "715-284-4089",
"fax_number": "715-284-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARY",
"middle_name": "JANE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Black River Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.