Individual provider Active NPI

Jennifer Smith Ravanesi, RPH

  • Pharmacist
  • Hockessin, DE
National Provider Identifier
1114145067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0003140 Issued in DE
Practice address
Route 7 & Valley Road
Lantana Square
Hockessin, DE 19707
Phone
(302) 234-9006
Fax
(302) 234-9125
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0003140 DE Primary

Addresses

Primary practice location

Route 7 & Valley Road
Lantana Square
Hockessin, DE 19707

Mailing address

119 Marthas Way
West Grove, PA 19390-1359
Phone (610) 869-5670

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
A1-0003140DEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114145067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MARTHAS WAY",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193901359",
            "telephone_number": "610-869-5670",
            "fax_number": "302-234-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 7 & VALLEY ROAD",
            "address_2": "LANTANA SQUARE",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "19707",
            "telephone_number": "302-234-9006",
            "fax_number": "302-234-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVANESI",
        "first_name": "JENNIFER",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.