Jacob John Yandre, PHARMD, BCIDP

Primary specialty

Infectious Diseases PharmacistTaxonomy code 1835I0206X

License

21342-40 Issued in WI

Practice address

600 Highland Ave
Madison, WI 53792-0001

Phone

(608) 263-6400

NPI assigned

Apr 28, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jake John Yandre Other name

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1942098181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 WILD WILLOW WAY",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938171",
            "telephone_number": "920-728-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANDRE",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCIDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835I0206X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Infectious Diseases",
            "state": "WI",
            "license": "21342-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "YANDRE",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "PHARMD, BCIDP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Yan, MD
• Qin Yan
• Shi Nuo Charisse Yan, PHARMD
• Hannah Yost Yancho, DDS
• Merritt Yandell, P.T.
• Amanda Yang, PHARMD
• Angela Yang, MD
• Cheng Yang
• Cherkhua Yang
• Danny Xiao Dan Yang

• Infectious Diseases Pharmacist in Madison, WI
• Providers in Madison, WI by specialty
• Infectious Diseases Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.