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Jarod Paul Gingreau, RPh

Pharmacist in Milwaukee, WI. Individual provider (NPI-1).

NPI number1700918232
StatusActive
Last updated in NPPESJan 23, 2017

Details

NPI
1700918232
Entity type
Individual (NPI-1)
Name
Jarod Paul Gingreau
Credential
RPh
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2007
Last updated
Jan 23, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist11464WIYes

Practice location

3781 S Brust Ave
Milwaukee, WI 53207-4061

Phone 414-294-0975

Mailing address

3781 S Brust Ave
Milwaukee, WI 53207-4061

Phone 414-294-0975

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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