Individual provider Active NPI

Jennifer Nicole Partin, PHARMD

  • Pharmacist
  • Fort Payne, AL
National Provider Identifier
1124305669
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16202 Issued in AL
Practice address
2001 Glenn Blvd SW
Fort Payne, AL 35968-3535
Phone
(256) 997-1194
Fax
(256) 997-1196
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16202 AL Primary

Addresses

Primary practice location

2001 Glenn Blvd SW
Fort Payne, AL 35968-3535

Mailing address

1300 County Line St
Sandrock, AL 35983-5550
Phone (256) 996-3819

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
16202ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1124305669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 COUNTY LINE ST",
            "city": "SANDROCK",
            "state": "AL",
            "postal_code": "359835550",
            "telephone_number": "256-996-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 GLENN BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683535",
            "telephone_number": "256-997-1194",
            "fax_number": "256-997-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTIN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; 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.