Healthcare Provider Details

I. General information

NPI: 1790484384
Provider Name (Legal Business Name): JULIANNE MARIE SOMPPI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 GOLF RD
DELAFIELD WI
53018-2178
US

IV. Provider business mailing address

2215 N 72ND ST
WAUWATOSA WI
53213-1807
US

V. Phone/Fax

Practice location:
  • Phone: 262-646-9095
  • Fax: 262-646-5125
Mailing address:
  • Phone: 414-614-3068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22079
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: