JENNIFER MARIE KETTERHAGEN PHARMD
NPI 1013556984
Pharmacist in Neenah, WI

Active since December 24, 2019

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2021, Dec 24, 2019 (2 updates tracked since 2019).

About Jennifer Marie Ketterhagen Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MARIE KETTERHAGEN PHARMD (NPI 1013556984) is an individual pharmacist in Neenah, Wisconsin, licensed in Wisconsin (20163-40) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1013556984
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJENNIFER MARIE KETTERHAGENCredential: PHARMD
Location Address130 2ND STNeenah, WI 54956-2883
Mailing AddressN2472 Sally CtGreenville, WI 54942-9732 · (563) 513-1079
Sole ProprietorYes
Enumeration DateDecember 24, 2019
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
NPI 1013556984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 20163-40
Definition
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.
130 2ND ST, Neenah, WI 54956

Other Names 1

Former Name (1)Jennifer Marie Fleege Pharmd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Dietetic Technician, Registered
130 2ND ST
NEENAH, WI 54956

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Ketterhagen's NPI number?

The NPI number for Jennifer Ketterhagen is 1013556984. It was assigned to this individual provider in the NPPES registry on December 24, 2019. The provider is also known as Jennifer Marie Fleege Pharmd.

Where is Jennifer Ketterhagen located?

Jennifer Ketterhagen practices at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 454-5080.

What is Jennifer Ketterhagen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jennifer Ketterhagen was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.