Active NPI
Jamal J Jaber, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1952158958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22400-40
- Practice address
- 4730 S 27TH St
Milwaukee, WI 53221-2602 - Phone
- (414) 817-0647
- NPI assigned
- May 6, 2024
- Last updated
- May 6, 2024
- Sex
- Male
- 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 | 22400-40 | WI | Primary |
Addresses
Primary practice location
4730 S 27TH St
Milwaukee, WI 53221-2602
Mailing address
3000 W Kimberly Ave
Milwaukee, WI 53221-5660
Phone (414) 446-1892
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 |
|---|---|---|---|
| 22400-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4730 S 27th St
Milwaukee, WI 53221
Phone (414) 817-0641
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1952158958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 W KIMBERLY AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532215660",
"telephone_number": "414-446-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 S 27TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212602",
"telephone_number": "414-817-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABER",
"first_name": "JAMAL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22400-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.