JESS ALLAN MANGOLD RPH
NPI 1154130037
Pharmacist in Combined Locks, WI

Active since January 06, 2025
644 ROLAND ST, COMBINED LOCKS, WI 54113(920) 570-8095 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jess Allan Mangold Rph NPPES

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

JESS ALLAN MANGOLD RPH (NPI 1154130037) is an individual pharmacist in Combined Locks, Wisconsin, licensed in Wisconsin (14360-40) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1154130037
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJESS ALLAN MANGOLDCredential: RPH
Location Address644 ROLAND STCombined Locks, WI 54113-1402
Mailing Address644 Roland StCombined Locks, WI 54113-1402 · (920) 570-8095
Sole ProprietorNo
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 5, 2025
✔ NPI 1154130037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 14360-40
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.
644 ROLAND ST, Combined Locks, WI 54113

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 Jess Mangold's NPI number?

The NPI number for Jess Mangold is 1154130037. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Jess Mangold located?

Jess Mangold practices at 644 Roland St, Combined Locks, WI 54113. The listed phone number is (920) 570-8095.

What is Jess Mangold'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 Jess Mangold was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.