IndividualActive
Jacob Henricksen, PHARMD
NPI 1265037188 · Pharmacist · Kenosha, WI
Jacob Henricksen, PHARMD is a Pharmacist provider in Kenosha, WI (NPI 1265037188).
Provider details
- NPI number
- 1265037188
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20472-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3726 22nd Ave
Kenosha, WI 53140-5300
Phone: (262) 654-6545
Street-level locationGet directions
Mailing address
11221 Synergy Dr Apt 366
Wauwatosa, WI 53222-1351
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
- Certified
- 2020-11-22
Frequently asked questions
- What is Jacob Henricksen's NPI number?
- Jacob Henricksen's National Provider Identifier (NPI) is 1265037188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Henricksen's specialty?
- Jacob Henricksen is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jacob Henricksen located?
- Jacob Henricksen's practice location on file with NPPES is 3726 22nd Ave, Kenosha, WI 53140-5300.
- What is Jacob Henricksen's phone number?
- The practice phone number listed in the NPPES registry for Jacob Henricksen is (262) 654-6545.
- Is Jacob Henricksen's NPI active?
- Yes — Jacob Henricksen's NPI (1265037188) is active in the NPPES registry as of the last update on 2020-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.