Active NPI
Jamie Jaclyn Sentkowski
- Pharmacist
- Thiensville, WI
National Provider Identifier
1972137495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18924-40
- Practice address
- 278 N Main St
Thiensville, WI 53092-1618 - Phone
- (262) 242-3451
- NPI assigned
- Feb 24, 2020
- 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 | 18924-40 | WI | Primary |
Addresses
Primary practice location
278 N Main St
Thiensville, WI 53092-1618
Mailing address
278 N Main St
Thiensville, WI 53092-1618
Phone (262) 242-3451
Other names 1
- Jamie Jaclyn Restock
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18924-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
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- West Bend, WI
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1972137495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 N MAIN ST",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921618",
"telephone_number": "262-242-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 N MAIN ST",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921618",
"telephone_number": "262-242-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENTKOWSKI",
"first_name": "JAMIE",
"middle_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18924-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "RESTOCK",
"middle_name": "JACLYN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Thiensville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.