Jill Willett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9045 Issued in ID

Practice address

5453 US Hwy 2
Priest River, ID 83856

Phone

(208) 448-1633

NPI assigned

Oct 19, 2020

Last updated

Oct 19, 2020By the provider in NPPES

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

Other names 1

• Jill Sammartano Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deblaquiere Enterprises Inc

  dba White Cross Pharmacy - Spirit Lake

  • Community/Retail Pharmacy
  • Spirit Lake, ID
  • NPI 1477973832
  NPD (past)
• Deblaquiere Enterprises, Inc.

  dba White Cross Pharmacy Priest River

  • Community/Retail Pharmacy
  • Priest River, ID
  • NPI 1285621136
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1457950750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838560458",
            "telephone_number": "208-448-1633",
            "fax_number": "208-448-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 US HWY 2",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "83856",
            "telephone_number": "208-448-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "JILL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SAMMARTANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Daniel Ward, FNP-C
• Tiffany A Ward, ARNP, FNP-C
• West Bonner County School District #83
• White Tail Transportation, Inc. (White Tail Transportation)
• Sally Ann White

• Pharmacist in Priest River, ID
• Providers in Priest River, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.