Elizabeth Jenkins
Individual provider Active NPI Pharmacist · Rio, WI
NPI 1972962900 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1972962900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14707 (WI)
- Practice address
- 333 Lowville Rd
Rio, WI 53960-9437 - Phone
- (920) 992-6800
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14707 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14707 | WI | Yes |
Addresses
Primary practice location
333 Lowville Rd
Rio, WI 53960-9437
Mailing address
333 Lowville Rd
Rio, WI 53960-9437
Other providers in Rio, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.