Active NPI
Jessica Faye Conner, PHARMD
- Pharmacist
- High Point, NC
National Provider Identifier
1124631536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29642
- Practice address
- 4102 Precision Way
High Point, NC 27265-8060 - Phone
- (336) 804-6018
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202219003 | VA | |
| Pharmacist | 183500000X | 29642 | NC | Primary |
Addresses
Primary practice location
4102 Precision Way
High Point, NC 27265-8060
Mailing address
1210 Hummingbird LN
South Boston, VA 24592-6758
Phone (434) 222-9114
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 |
|---|---|---|---|
| 29642 | NC | MD | Pharmacist |
| 0202219003 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1124631536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 HUMMINGBIRD LN",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245926758",
"telephone_number": "434-222-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PRECISION WAY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658060",
"telephone_number": "336-804-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "JESSICA",
"middle_name": "FAYE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219003",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.