Active NPI
Emily Jane Zajac, PHARMD
- Pharmacist
- Webster, WI
National Provider Identifier
1831731785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19534-40
- Practice address
- 7438 Main St W
Webster, WI 54893-8206 - Phone
- (715) 866-8644
- Fax
- (715) 866-7344
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19534-40 | WI | Primary |
Addresses
Primary practice location
7438 Main St W
Webster, WI 54893-8206
Mailing address
PO Box 26
Webster, WI 54893-0026
Phone (715) 866-8644
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19534-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow River Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Webster, WI
- NPI 1982649760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1831731785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "WEBSTER",
"state": "WI",
"postal_code": "548930026",
"telephone_number": "715-866-8644",
"fax_number": "715-866-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7438 MAIN ST W",
"city": "WEBSTER",
"state": "WI",
"postal_code": "548938206",
"telephone_number": "715-866-8644",
"fax_number": "715-866-7344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAJAC",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19534-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.