JAZMYNN WORMAN (NPI# 1104455336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104455336 |
| Entity Type | Individual |
| Full Name | JAZMYNN WORMAN |
| Practice Address |
1424 W Mequon Rd Ste B Mequon WI 53092-3226 |
| Practice Telephone | 2625810411 |
| Practice Fax Number | 2629231002 |
| Mailing Telephone | 2625810411 |
| Mailing Fax Number | 2629231002 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18838-40 | WI | Pharmacy Service Providers |
| Street Address |
1424 W MEQUON RD STE B |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303473 | Lisa Ann Miller | Pharmacist | 7937 W Poplar Dr, Mequon, WI 53097-3279 | 2020-10-15 |
| 1114369345 | Carly Hartman | Pharmacist | 5508 W Donges Bay Rd, Mequon, WI 53092-4423 | 2013-07-30 |
| 1003173352 | Norman Malmon | Pharmacist | 2607 W Lake Isle Dr, Mequon, WI 53092-2451 | 2012-04-11 |
| 1750658563 | John Jerome Zywicke | Pharmacist | 9811 N Melrose Ct, Mequon, WI 53097-3834 | 2011-11-22 |
| 1619052172 | Vaxpro LLC | Pharmacist | 1001 W Glen Oaks Ln, Mequon, WI 53092-3365 | 2006-10-25 |
| 1669080784 | Spencer Bold | Pharmacist | 11270 N Port Washington Rd, Mequon, WI 53092-3410 | 2020-07-14 |
| 1083247662 | Hamide Sinani | Pharmacist | 11270 N Port Washington Rd, Mequon, WI 53092-3410 | 2020-02-21 |
| 1952766891 | Kellie Doll | Pharmacist | 11558 N Port Washington Rd, Mequon, WI 53092-3416 | 2015-12-18 |
| 1124417936 | Catherine Zielinski | Pharmacist | 11558 N Port Washington Rd, Mequon, WI 53092-3416 | 2015-01-16 |
| 1023358728 | Laura Alar | Pharmacist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2013-02-18 |
| Find all providers in MEQUON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.