Individual provider Active NPI

Jennifer Cummer, PHARMD

  • Pharmacist
  • Ann Arbor, MI
National Provider Identifier
1124105523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302031961 Issued in MI
Practice address
5204 Jackson Rd Ste C
Ann Arbor, MI 48103-1866
Phone
(734) 821-8000
Fax
(734) 821-8001
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 5302031961 MI Primary

Addresses

Primary practice location

5204 Jackson Rd Ste C
Ann Arbor, MI 48103-1866

Mailing address

5204 Jackson Rd Ste C
Ann Arbor, MI 48103-1866
Phone (734) 821-8000

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
5302031961MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124105523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 JACKSON RD STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031866",
            "telephone_number": "734-821-8000",
            "fax_number": "734-821-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 JACKSON RD STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031866",
            "telephone_number": "734-821-8000",
            "fax_number": "734-821-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

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.