Healthcare Provider Details

I. General information

NPI: 1487274411
Provider Name (Legal Business Name): CONNOR JAMES HUMMEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 N 87TH ST
MILWAUKEE WI
53226-3586
US

IV. Provider business mailing address

840 N 87TH ST
MILWAUKEE WI
53226-3586
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-6896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number21250-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: