DR. JILL RAE DWORSCHACK (NPI# 1770194995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770194995 |
| Entity Type | Individual |
| Full Name | DR. JILL RAE DWORSCHACK |
| Credential | PHARMD |
| Practice Address |
2811 18th St Kenosha WI 53140-4665 |
| Practice Telephone | 2625510367 |
| Practice Fax Number | 2625510416 |
| Mailing Telephone | 2625510367 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1928540 | WI | Pharmacy Service Providers |
| Street Address |
2811 18TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-4665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295014959 | Roundys Supermarkets Inc | Pharmacy | 2811 18th St, Kenosha, WI 53140-4665 | 2011-08-12 |
| 1538566195 | Anitha Mathews | Pharmacist | 2811 18th St, Kenosha, WI 53140-4665 | 2014-11-25 |
| 1457757643 | Andrew Joseph Germann | Pharmacist | 2811 18th St, Kenosha, WI 53140-4665 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063133 | Lisa Neyens | Pharmacist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-02 |
| 1518364397 | Ranjitha Inguva | Pharmacist | 5710 75th St, Kenosha, WI 53142-3635 | 2014-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560311 | Sarah Seward | Pharmacist | 6737 W Washington St Ste 4300, West Allis, WI 53214-5651 | 2020-05-26 |
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1528544798 | Sarah A Abraham | Pharmacist | 3801 N Richmond St, Appleton, WI 54913-9631 | 2018-07-11 |
| 1497280218 | Dennis Alfred Malone Jr. | Pharmacist | 211 Ramsland St, Westby, WI 54667-1031 | 2017-04-30 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
| 1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
| 1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
| 1750650453 | Patricia Fowler | Pharmacist | 5054 Valley Heights Rd, Oshkosh, WI 54904-9354 | 2011-12-26 |
| 1740565217 | Tracy Ann Junker | Pharmacist | 2717 E Denton Ave, Saint Francis, WI 53235-5447 | 2011-10-17 |
| Find all providers with the same taxonomy | ||||
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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.