Active NPI
Jennifer Ann Marquart
- Pharmacotherapy Pharmacist
- Wayzata, MN
National Provider Identifier
1215377650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 119631
- Practice address
- 15517 Post Rd
Wayzata, MN 55391-2116 - Phone
- (612) 237-8352
- NPI assigned
- Jun 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 119631 | MN | Primary |
Addresses
Primary practice location
15517 Post Rd
Wayzata, MN 55391-2116
Mailing address
15517 Post Rd
Wayzata, MN 55391-2116
Phone (612) 237-8352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119631 | MN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372550400000",
"number": "1215377650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15517 POST RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912116",
"telephone_number": "612-237-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15517 POST RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912116",
"telephone_number": "612-237-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUART",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-30",
"last_updated": "2013-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MN",
"license": "119631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.