Individual provider Active NPI

Jennifer Levenson

  • Pharmacist
  • Gallipolis, OH
National Provider Identifier
1013027168
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-1-24570 Issued in OH
Practice address
185 Upper River Rd
Gallipolis, OH 45631-1836
Phone
(740) 446-8366
NPI assigned
Aug 30, 2006
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-24570 OH Primary
Pharmacist 183500000X RP0006352 WV
Pharmacist 183500000X 12816 AZ
Pharmacist 183500000X PH00010371 WA

Addresses

Primary practice location

185 Upper River Rd
Gallipolis, OH 45631-1836

Mailing address

185 Upper River Rd
Gallipolis, OH 45631-1836
Phone (740) 446-8366

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

State licenses

LicenseStateTypeSpecialty
12816AZMDSpecialist
PH00010371WAMDPharmacist
RP0006352WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1013027168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 UPPER RIVER RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311836",
            "telephone_number": "740-446-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 UPPER RIVER RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311836",
            "telephone_number": "740-446-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-24570",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006352",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "12816",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00010371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.