Individual provider Active NPI

Jennifer Joy Skifton, PHARM.D.

  • Pharmacist
  • Onalaska, WI
National Provider Identifier
1114103462
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13611-040 Issued in WI
Practice address
191 Theatre Rd
Onalaska Clinic Pharmacy
Onalaska, WI 54650-8679
Phone
(608) 392-5009
Fax
(608) 392-5798
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 116868 MN
Pharmacist 183500000X 13611-040 WI Primary

Addresses

Primary practice location

191 Theatre Rd
Onalaska Clinic Pharmacy
Onalaska, WI 54650-8679

Mailing address

191 Theatre Rd
Onalaska Clinic Pharmacy
Onalaska, WI 54650-8679
Phone (608) 392-5009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jskifton27308@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
116868MNMDPharmacist
13611-040WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1114103462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 THEATRE RD",
            "address_2": "ONALASKA CLINIC PHARMACY",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508679",
            "telephone_number": "608-392-5009",
            "fax_number": "608-392-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 THEATRE RD",
            "address_2": "ONALASKA CLINIC PHARMACY",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508679",
            "telephone_number": "608-392-5009",
            "fax_number": "608-392-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIFTON",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "116868",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13611-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jskifton27308@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "191 Theatre Rd",
            "address_2": "Onalaska Clinic Pharmacy",
            "city": "Onalaska",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546508679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.