Individual provider Active NPI

Jodi Alline Pilgreen, B.S. PHARM

  • Pharmacist
  • Farmerville, LA
National Provider Identifier
1134436405
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16750 Issued in LA
Practice address
1018 Sterlington Hwy
Farmerville, LA 71241-3810
Phone
(318) 368-2218
Fax
(318) 368-2298
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16750 LA Primary
Pharmacist 183500000X 08827 AR

Addresses

Primary practice location

1018 Sterlington Hwy
Farmerville, LA 71241-3810

Mailing address

1018 Sterlington Hwy
Farmerville, LA 71241-3810
Phone (318) 368-2218

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
08827ARMDPharmacist
16750LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1134436405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 STERLINGTON HWY",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712413810",
            "telephone_number": "318-368-2218",
            "fax_number": "318-368-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 STERLINGTON HWY",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712413810",
            "telephone_number": "318-368-2218",
            "fax_number": "318-368-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILGREEN",
        "first_name": "JODI",
        "middle_name": "ALLINE",
        "name_prefix": "Mrs.",
        "credential": "B.S. PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16750",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "08827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmerville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.