Jill Demaster, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

12681-40 Issued in WI

Practice address

36500 Aurora Dr Ste 100
Summit, WI 53066-4899

Phone

(262) 434-7700

NPI assigned

Jan 22, 2020

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

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.

• Aurora Pharmacy, Inc

  • Clinic Pharmacy
  • Greenfield, WI
  • NPI 1487213237
  NPD (past)
• Aurora Pharmacy, Inc.

  • Pharmacy
  • Summit, WI
  • NPI 1902038565
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1902436660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR STE 100",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "530664899",
            "telephone_number": "262-434-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR STE 100",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "530664899",
            "telephone_number": "262-434-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASTER",
        "first_name": "JILL",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12681-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly S Campbell, ANP-BC
• Elana Marie Rose Contorno, PA-C
• Jena Louise Cruciani
• Elizabeth Daniels, PA
• Joseph Michael De Rubeis, DO
• Meridith Ann Loe Derrig, MD
• Elisa Marie Diermeier, APNP
• Alexandra Denise Disrud, PA-C
• Andrew Roger Dodd, M.D.
• Andrea Donaldson, PT, CSCS

• All providers in Summit, WI
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.