Krystie Dawn Jensen, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

S018504 Issued in AZ

Practice address

1157 E Ranch CT
Gilbert, AZ 85296-3608

Phone

(417) 830-2292

NPI assigned

Jan 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1043558463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E RANCH CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963608",
            "telephone_number": "417-830-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E RANCH CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963608",
            "telephone_number": "417-830-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KRYSTIE",
        "middle_name": "DAWN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018504",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042481",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7787049-1701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7787049-8911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Edwards Counseling Services
• Alexa Jensen
• Collin Dell Jensen, DC
• Jaimee Anne Jensen
• Kristen Renee Jensen
• Tara Jensen
• Vicki Ann Jensen, CCC/SLP-L
• Gregg W. Jepson, D.M.D.
• Megan Jerome, PT, DPT
• Sarah Joan Jespersen, M.S., CCC-SLP

• Pharmacist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.