Individual provider Active NPI

Nesheka N Jessup, PHARMD

  • Pharmacist
  • Rocky Mount, NC
National Provider Identifier
1053608372
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18699 Issued in NC
Practice address
731 Sutters Creek Blvd
Target Pharmacy T-0962
Rocky Mount, NC 27804-8452
Phone
(252) 937-9863
Fax
(252) 937-9863
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18699 NC Primary

Addresses

Primary practice location

731 Sutters Creek Blvd
Target Pharmacy T-0962
Rocky Mount, NC 27804-8452

Mailing address

731 Sutters Creek Blvd
Target Pharmacy T-0962
Rocky Mount, NC 27804-8452
Phone (252) 937-9863

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

LicenseStateTypeSpecialty
18699NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1053608372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SUTTERS CREEK BLVD",
            "address_2": "TARGET PHARMACY T-0962",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048452",
            "telephone_number": "252-937-9863",
            "fax_number": "252-937-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SUTTERS CREEK BLVD",
            "address_2": "TARGET PHARMACY T-0962",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048452",
            "telephone_number": "252-937-9863",
            "fax_number": "252-937-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "NESHEKA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.