Individual provider Active NPI

Jennifer Frances Schmude, DOCTOR

  • Pharmacist
  • Erie, PA
National Provider Identifier
1053906255
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP441143 Issued in PA
Practice address
1216 W 6TH St
Erie, PA 16507-1022
Phone
(814) 844-6265
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP441143 PA Primary

Addresses

Primary practice location

1216 W 6TH St
Erie, PA 16507-1022

Mailing address

1216 W 6TH St
Erie, PA 16507-1022

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cvs Health Information Exchange (HIE)

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
RP441143PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania CVS Pharmacy, L.L.C. CurrentSince Mar 16, 2021 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Mar 16, 2021 Accepting new patients

Locations

1216 W 6th St
Erie, PA 16507
Phone (814) 844-6265

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.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1053906255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071022",
            "telephone_number": "814-844-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUDE",
        "first_name": "JENNIFER",
        "middle_name": "FRANCES",
        "credential": "DOCTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cvs",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 W 6th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.