Active NPI
Jennifer Michelle Styron, PHARMD
- Pharmacist
- Greenville, NC
National Provider Identifier
1114628765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20066
- Practice address
- 705 Greenville Blvd SE
Greenville, NC 27858-5102 - Phone
- (152) 413-8634
- NPI assigned
- Mar 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 20066 | NC | Primary |
Addresses
Primary practice location
705 Greenville Blvd SE
Greenville, NC 27858-5102
Mailing address
547 Ridge Dr
Winterville, NC 28590-8555
Phone (252) 321-8734
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 |
|---|---|---|---|
| 20066 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1114628765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 RIDGE DR",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285908555",
"telephone_number": "252-321-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GREENVILLE BLVD SE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585102",
"telephone_number": "152-413-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYRON",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.