Active NPI
Jennifer A Nowak, PHARMD
- Pharmacist
- Smithfield, VA
National Provider Identifier
1043584964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202210811
- Practice address
- 11410 White House Rd
Smithfield, VA 23430-2755 - Phone
- (757) 620-9150
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 0202210811 | VA | Primary |
Addresses
Primary practice location
11410 White House Rd
Smithfield, VA 23430-2755
Mailing address
11410 White House Rd
Smithfield, VA 23430-2755
Phone (757) 620-9150
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 |
|---|---|---|---|
| 0202210811 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1043584964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11410 WHITE HOUSE RD",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234302755",
"telephone_number": "757-620-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11410 WHITE HOUSE RD",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234302755",
"telephone_number": "757-620-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, VA
- Nansemond Family Practice, LLC
- National Birth Centers, Inc.
- Kimberly Boone Nelson, RN
- New Beginnings Behavioral Consulting, PLC
- Kimberly Nicole Norfleet, LPC
- Enrique Tomenio Pallesco, SUBMARINE IDC
- James F Pape, D.D.S.
- Gabrielle B Pascual, MA, LPC, NCC
- Wanda Griffin Pascucci
- Patrick Henry Hospital, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.