Active NPI
Teresa Bryant Jennings, RPH
- Pharmacist
- King, NC
National Provider Identifier
1033417258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12801
- Practice address
- 650 S. Main Street
King, NC 27021 - Phone
- (336) 983-4165
- Fax
- (336) 983-6336
- NPI assigned
- Mar 11, 2011
- Last updated
- Mar 11, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12801 | NC | Primary |
| Pharmacist | 183500000X | 6377 | SC | |
| Pharmacist | 183500000X | 0202007691 | VA |
Addresses
Primary practice location
650 S. Main Street
King, NC 27021
Mailing address
P.O. Box 715
King, NC 27021
Phone (336) 983-4165
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202007691 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1033417258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 715",
"city": "KING",
"state": "NC",
"postal_code": "27021",
"telephone_number": "336-983-4165",
"fax_number": "336-983-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S. MAIN STREET",
"city": "KING",
"state": "NC",
"postal_code": "27021",
"telephone_number": "336-983-4165",
"fax_number": "336-983-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "TERESA",
"middle_name": "BRYANT",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-11",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12801",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6377",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.