Individual provider Active NPI

Ann Zumach, RPH

  • Pharmacist
  • Sun Prairie, WI
National Provider Identifier
1376896191
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13083-40 Issued in WI
Practice address
1571 Ivory Dr
Sun Prairie, WI 53590-1820
Phone
(608) 318-2871
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13083-40 WI Primary

Addresses

Primary practice location

1571 Ivory Dr
Sun Prairie, WI 53590-1820

Mailing address

1571 Ivory Dr
Sun Prairie, WI 53590-1820
Phone (608) 318-2871

Other practice location 1

107 N High St
Randolph, WI 53956-1267
Phone (920) 326-5242

Other identifiers 1

IdentifierTypeStateIssuer
13083-40OtherWIPHARMAMIST LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13083-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockmed LLC PastSince Aug 23, 2020 Accepting new patients
Hometown Long Term Care Pharmacy LLC PastSince Aug 23, 2020 Accepting new patients
Shopko Stores Operating Co LLC Past Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1376896191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 IVORY DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901820",
            "telephone_number": "608-318-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 IVORY DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901820",
            "telephone_number": "608-318-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N High St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "WI",
            "postal_code": "539561267",
            "country_code": "US",
            "telephone_number": "920-326-5242",
            "fax_number": "920-326-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUMACH",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "13083-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMAMIST LICENSE",
            "identifier": "13083-40",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.