Individual provider Active NPI

Jenna Kroner, PHARMD.

  • Pharmacist
  • Davidsville, PA
National Provider Identifier
1093296683
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP442772 Issued in PA
Practice address
118 N Main St
Davidsville, PA 15928-9528
Phone
(814) 479-2588
NPI assigned
Aug 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442772 PA Primary

Addresses

Primary practice location

118 N Main St
Davidsville, PA 15928-9528

Mailing address

828 Woodstown Hwy
Hollsopple, PA 15935-7318

Other practice location 1

2028 N Center Ave
Somerset, PA 15501-7436
Phone (814) 443-6963

Other identifiers 2

IdentifierTypeStateIssuer
RPI009092OtherPAPENNSYLVANIA STATE BOARD OF PHARMACY
RP442772OtherPAPENNSYLVANIA STATE BOARD OF PHARMACY

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
RP442772PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
3JB LLC PastSince Jun 12, 2022 Accepting new patients
3JB LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1093296683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 WOODSTOWN HWY",
            "city": "HOLLSOPPLE",
            "state": "PA",
            "postal_code": "159357318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "city": "DAVIDSVILLE",
            "state": "PA",
            "postal_code": "159289528",
            "telephone_number": "814-479-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2028 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155017436",
            "country_code": "US",
            "telephone_number": "814-443-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRONER",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF PHARMACY",
            "identifier": "RPI009092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF PHARMACY",
            "identifier": "RP442772",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.