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Export Provider Record NPI 1114078904
Jerome Drugs Inc
Organization Subpart: NO
Active
NPI Number1114078904
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1114078904
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-01-16
Last Updated2020-08-22
Authorized OfficialJeffery Gottfried
Pharmacist
Phone: 2626791800
Mailing AddressPo Box 26
Muskego, WI 53150-0026
United States
Phone: (262) 679-1800
📍 View Map
Primary Practice AddressS75w17301 Janesville Rd
Muskego, WI 53150-9376
United States
Phone: (262) 679-1800
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail PharmacyWI7799
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About NPI 1114078904

Jerome Drugs Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114078904. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Muskego, WI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114078904?

NPI 1114078904 belongs to Jerome Drugs Inc, a Pharmacy, Community/Retail Pharmacy in Muskego, WI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114078904 active?

The current status of NPI 1114078904 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1114078904?

NPI 1114078904 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114078904?

You can verify NPI 1114078904 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114078904?

The primary practice address on file for NPI 1114078904 is S75w17301 Janesville Rd, Muskego, WI 53150-9376. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114078904 issued?

NPI 1114078904 was first issued (enumerated) on 2007-01-16. The NPPES record was last updated on 2020-08-22.

Practice Location Map

Jerome Drugs Inc is located at S75w17301 Janesville Rd, Muskego, WI. Use the map below to find directions or verify the practice location.

📍 S75w17301 Janesville Rd, Muskego, WI 53150-9376  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jerome Drugs Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114078904. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy7799WI
Data Verified from CMS NPPES Last synced: 2026-08-11 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162