Active NPI
Jennifer Brooke Collins, PHARMD
- Pharmacist
- Erwin, NC
National Provider Identifier
1013475250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27738
- Practice address
- 801 S 13TH St
Erwin, NC 28339-2635 - Phone
- (910) 897-5014
- Fax
- (910) 897-2801
- NPI assigned
- Mar 6, 2019
- Last updated
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27738 | NC | Primary |
Addresses
Primary practice location
801 S 13TH St
Erwin, NC 28339-2635
Mailing address
801 S 13TH St
Erwin, NC 28339-2635
Phone (910) 897-5014
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27738 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erwin Iga Inc | Past | Accepting new patients | |
| Erwin Iga, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1013475250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S 13TH ST",
"city": "ERWIN",
"state": "NC",
"postal_code": "283392635",
"telephone_number": "910-897-5014",
"fax_number": "910-897-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S 13TH ST",
"city": "ERWIN",
"state": "NC",
"postal_code": "283392635",
"telephone_number": "910-897-5014",
"fax_number": "910-897-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, NC
- Carenet, Inc. (Baptist Hospital Carenet Counseling Centers)
- Carolina Sleep and Respiratory, LLC
- Elizabeth Kristin Charney, DPT
- Kenyon Mala Chavis, M.D.
- Molly Cisler
- Community Health &Wellness Inc
- Ryan Costner, DDS
- Lisa Morrison Cox
- Cumberland County Hospital System Inc (Cape Fear Valley Primary Care-Erwin)
- Henry W Davis, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.