Jenna Marie Demy, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

26022918A Issued in IN

Practice address

13242 Wicker Ave
Cedar Lake, IN 46303-9348

Phone

(219) 374-9346

NPI assigned

Jan 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Cedar Lake, IN
  • NPI 1770598815
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1437497484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13242 WICKER AVE",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039348",
            "telephone_number": "219-374-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13242 WICKER AVE",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039348",
            "telephone_number": "219-374-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMY",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022918A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Lake Dental, Inc.
• Zackary Thomas Collins, PHARMD.
• Robin L Dal Santo, COTA/L
• Clara Damarjian
• Jean Marie Decavitch, NP-C
• Detailed Dental
• Thomas Leroy Dexter III
• Brian Vincent Dieckmann, PSYD
• Brittany Rae Disterheft, OD
• Lisa Antoinette Duffley-Kazmierski, D.T.

• Pharmacist in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.