Active NPI
Carlo Jade Henson
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1093239980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123456
- Practice address
- 345 Smith Ave N
Saint Paul, MN 55102-2346 - Phone
- (651) 220-6820
- NPI assigned
- Aug 1, 2017
- Last updated
- Aug 1, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123456 | MN | Primary |
Addresses
Primary practice location
345 Smith Ave N
Saint Paul, MN 55102-2346
Mailing address
141 4TH St E Apt 924
Saint Paul, MN 55101-2517
Phone (713) 502-1914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1093239980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 4TH ST E APT 924",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012517",
"telephone_number": "713-502-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022346",
"telephone_number": "651-220-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "CARLO",
"middle_name": "JADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.