Elvis Chefor Jumkonda

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH6537 Issued in ND

Practice address

2475 32ND Ave S Ste 1
Grand Forks, ND 58201-3606

Phone

(701) 775-4209

NPI assigned

Oct 31, 2023

Sex

Male

Sole proprietor

No

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.

• White Drug Co of Jamestown Inc

  • Community/Retail Pharmacy
  • West Fargo, ND
  • NPI 1033208640
  NPD (past)
• White Drug Co of Jamestown Inc

  • Community/Retail Pharmacy
  • Grand Forks, ND
  • NPI 1689763294
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2023.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1104699370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 DOCK DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788496",
            "telephone_number": "701-885-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 32ND AVE S STE 1",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013606",
            "telephone_number": "701-775-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMKONDA",
        "first_name": "ELVIS",
        "middle_name": "CHEFOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenelle Mahalia Chrystal Joseph, M.D.
• Hans Fjeld Joseph, D.O
• Michael S Jowkar, PHD
• Nancy Joyner, APRN BC
• Rose J. Julius, DO
• Cindy Lee Juntunen, LP
• Theresa A Jurgens, MPT
• JW Ventures, LLC
• Kanako Kabaki
• Angela Kaiser, MA, LPCC

• All providers in Grand Forks, ND
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.