Savannah Morgan Jack

Primary specialty

PharmacistTaxonomy code 183500000X

License

PT0011028 Issued in WV

Practice address

400 Enterprise Circle
Martinsburg, WV 25405

Phone

(304) 263-4185

Fax

(304) 264-5953

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Weis Markets, Inc.

  • Community/Retail Pharmacy
  • Martinsburg, WV
  • NPI 1205423498
  NPD
• Weis Markets Inc

  • Community/Retail Pharmacy
  • Waldorf, MD
  • NPI 1609739366
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1063143543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE CIRCLE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25405",
            "telephone_number": "304-263-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE CIRCLE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25405",
            "telephone_number": "304-263-4185",
            "fax_number": "304-264-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "SAVANNAH",
        "middle_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "PT0011028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoji Ishigami, M.D., PH.D.
• Jane Decruchy Ishman, RN
• Jimeca Ashley Iyomere, CPRS
• Christine Izquierdo, MS, RD, CNSC
• Scheherazade Jaamac, D.D.S.
• Rachel Jackman
• Daniel Jackson, M.D.
• Jessica Jackson
• Mary NMN Jackson
• Tenieka Lashann Jackson

• Pharmacist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.