Active NPI
Jacqueline Hodgins, PHARMD
- Pharmacist
- Solon, IA
National Provider Identifier
1104412774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20156
- Practice address
- 101 Windflower LN Ste 100
Solon, IA 52333-4708 - Phone
- (319) 624-2239
- NPI assigned
- Dec 17, 2020
- Last updated
- Dec 17, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20156 | IA | Primary |
Addresses
Primary practice location
101 Windflower LN Ste 100
Solon, IA 52333-4708
Mailing address
101 Windflower LN Ste 100
Solon, IA 52333-4708
Phone (319) 624-2239
Other practice location 1
2306 Muscatine Ave # 100
Iowa City, IA 52240-6637
Phone (319) 337-3526
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20156 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Towncrest Pharmacy Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Solon Towncrest Pharmacy
- Community/Retail Pharmacy
- Solon, IA
- NPI 1043567050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1104412774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WINDFLOWER LN STE 100",
"city": "SOLON",
"state": "IA",
"postal_code": "523334708",
"telephone_number": "319-624-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WINDFLOWER LN STE 100",
"city": "SOLON",
"state": "IA",
"postal_code": "523334708",
"telephone_number": "319-624-2239"
}
],
"practiceLocations": [
{
"address_1": "2306 Muscatine Ave # 100",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522406637",
"country_code": "US",
"telephone_number": "319-337-3526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGINS",
"first_name": "JACQUELINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.