Active NPI
Jolene Iris Quackenbush, PHARMD
- Pharmacotherapy Pharmacist
- Tomah, WI
National Provider Identifier
1912881392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 14322-40
- Practice address
- 501 Gopher Dr
Tomah, WI 54660-4513 - Phone
- (608) 377-8409
- Fax
- (608) 377-8748
- NPI assigned
- Jul 31, 2025
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 14322-40 | WI | Primary |
Addresses
Primary practice location
501 Gopher Dr
Tomah, WI 54660-4513
Mailing address
N4960 Oakview Dr
West Salem, WI 54669-9308
Phone (608) 780-2531
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14322-40 | WI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1912881392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4960 OAKVIEW DR",
"city": "WEST SALEM",
"state": "WI",
"postal_code": "546699308",
"telephone_number": "608-780-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-377-8409",
"fax_number": "608-377-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACKENBUSH",
"first_name": "JOLENE",
"middle_name": "IRIS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-31",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WI",
"license": "14322-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.