Individual provider Active NPI

Jenny Minor, PHARM.D.

  • Pharmacist
  • Apex, NC
National Provider Identifier
1124390240
Registry record updated Feb 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13930 Issued in NC
Practice address
1201 Beaver Creek Commons Dr
Target Pharmacy 1932
Apex, NC 27502-3922
Phone
(919) 372-1406
NPI assigned
Feb 5, 2012
Last updated
Feb 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13930 NC Primary

Addresses

Primary practice location

1201 Beaver Creek Commons Dr
Target Pharmacy 1932
Apex, NC 27502-3922

Mailing address

1201 Beaver Creek Commons Dr
Target Pharmacy 1932
Apex, NC 27502-3922
Phone (919) 372-1406

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328400000000",
    "number": "1124390240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BEAVER CREEK COMMONS DR",
            "address_2": "TARGET PHARMACY 1932",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023922",
            "telephone_number": "919-372-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BEAVER CREEK COMMONS DR",
            "address_2": "TARGET PHARMACY 1932",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023922",
            "telephone_number": "919-372-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "JENNY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-05",
        "last_updated": "2012-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; 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.