Active NPI
Jessica White
- Pharmacy Technician
- Newport, VT
National Provider Identifier
1073394318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 121.0135706
- Practice address
- 59 Waterfront PLZ
Newport, VT 05855-4877 - Phone
- (802) 334-6785
- NPI assigned
- Oct 12, 2023
- Last updated
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 121.0135706 | VT | Primary |
Addresses
Primary practice location
59 Waterfront PLZ
Newport, VT 05855-4877
Mailing address
105 Mountain View Dr
Jay, VT 05859-6502
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121.0135706 | VT | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1073394318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MOUNTAIN VIEW DR",
"city": "JAY",
"state": "VT",
"postal_code": "058596502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 WATERFRONT PLZ",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554877",
"telephone_number": "802-334-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "VT",
"license": "121.0135706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.