Jennifer Suzanne Demere, PHARMD
Individual provider Active NPI Pharmacist · Hutchinson, MN
NPI 1164020038 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1164020038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 119463 (MN)
- Practice address
- 1300 Highway 15 S
Hutchinson, MN 55350-3801 - Phone
- (320) 587-1023
- Fax
- (320) 587-1024
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119463 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119463 | MN | Yes |
Addresses
Primary practice location
1300 Highway 15 S
Hutchinson, MN 55350-3801
Mailing address
408 Boulder St SW
Hutchinson, MN 55350-2153
Phone (320) 552-1312
Other providers in Hutchinson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.