Active NPI
Jennifer Marie George, PHARM.D,
- Pharmacist
- Monona, WI
National Provider Identifier
1942202379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14143-40
- Practice address
- 6408 Copps Avenue
Monona, WI 53716 - Phone
- (608) 417-7115
- Fax
- (608) 417-3001
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 14143-40 | WI | Primary |
Addresses
Primary practice location
6408 Copps Avenue
Monona, WI 53716
Mailing address
202 South Park Street
Madison, WI 53715
Phone (608) 417-7115
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 |
|---|---|---|---|
| 14143-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1942202379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SOUTH PARK STREET",
"city": "MADISON",
"state": "WI",
"postal_code": "53715",
"telephone_number": "608-417-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 COPPS AVENUE",
"city": "MONONA",
"state": "WI",
"postal_code": "53716",
"telephone_number": "608-417-7115",
"fax_number": "608-417-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14143-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.