OrganizationActive
Jat Pharmacy, LLC
NPI 1083935233 · Mail Order Pharmacy · Deforest, WI
Provider details
- NPI number
- 1083935233
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- William Bartkowiak, Director of Pharmacy/Pharmacist in(877) 490-3577
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
805 Burton Boulevard
Suite a
Deforest, WI 53532
Phone: (877) 490-3577
Fax: (877) 490-3576
Street-level locationGet directions
Mailing address
805 Burton Boulevard
Deforest, WI 53532
Other names (DBA / former)
- Doing business as
- Jat Pharmacy, LLC
- Doing business as
- Jat Pharmacy, LLC
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2023-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.