Active NPI
Diane Marie Oddis, RPH
- Pharmacist
- Menomonee Falls, WI
National Provider Identifier
1902808074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12011-040
- Practice address
- N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102 - Phone
- (262) 532-5040
- NPI assigned
- Aug 10, 2005
- 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 | 12011-040 | WI | Primary |
Addresses
Primary practice location
N86W12999 Nightingale Way
Menomonee Falls, WI 53051-2102
Mailing address
W165N10632 Wagon TRL
Germantown, WI 53022-4159
Phone (262) 224-4618
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1902808074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W165N10632 WAGON TRL",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224159",
"telephone_number": "262-224-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N86W12999 NIGHTINGALE WAY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512102",
"telephone_number": "262-532-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODDIS",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12011-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.