Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104513522 Individual Practitioner Male Practitioner

Jacob Vance

Pharmacist • Mukwonago, WI

Professional Overview & Biography Verified Profile Summary

Jacob Vance is a registered healthcare professional specializing in Pharmacist in Mukwonago, WI. Practice services are available at 212 N ROCHESTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 N Rochester St

Mukwonago, WI 531491313

Telephone 2623635235
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1609881788

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mukwonago, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Mukwonago, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 22126

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1013290881

Registered Pharmacist

Gurjit Singh

Pharmacist

NPI 1184257719

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2023

Registered at 212 N ROCHESTER ST, MUKWONAGO, WI 531491313 (Tel: 2623635235)

📍
Updated Business Mailing Address April 18, 2023

Registered at 1009 N JACKSON ST APT 1307B, MILWAUKEE, WI 532023203 (Tel: 6305085340)

👤
Provider Name / Credentials Updated April 18, 2023

Recorded as JACOB VANCE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Pharmacist (License #22126 in WI)

🟢
Initial NPI Registration & Enumeration April 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104513522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2023
Last Update: April 18, 2023
Sole Proprietor: No

Mailing Address

1009 N Jackson St Apt 1307b

Milwaukee, WI 532023203

Phone: 6305085340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.