Individual provider Active NPI

Jaime Suzanne Ison

  • Pharmacist
  • Greenville, SC
National Provider Identifier
1033727748
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42568 Issued in SC
Practice address
1335 Stallings Rd
Greenville, SC 29609-6946
Phone
(864) 322-2813
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
42568SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc PastSince Aug 2, 2020 Accepting new patients
Ingles Markets Inc PastSince Aug 2, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42568 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1335 Stallings Rd
Greenville, SC 29609-6946

Mailing address

51 Otago PL
Greenville, SC 29605-5985
Phone (864) 205-6681

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address jison@ingles-markets.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2020.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1033727748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 OTAGO PL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055985",
            "telephone_number": "864-205-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 STALLINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296096946",
            "telephone_number": "864-322-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "JAIME",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jison@ingles-markets.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1335 Stallings Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296096946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.