Active NPI
Jennifer Phu
- Pharmacist
- Rockingham, NC
National Provider Identifier
1144836370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30011
- Practice address
- 1500 E Broad Ave
Rockingham, NC 28379-4908 - Phone
- (910) 410-3710
- NPI assigned
- Sep 22, 2020
- Last updated
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30011 | NC | Primary |
Addresses
Primary practice location
1500 E Broad Ave
Rockingham, NC 28379-4908
Mailing address
1500 E Broad Ave
Rockingham, NC 28379-4908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30011 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1500 E Broad Ave
Rockingham, NC 28379
Phone (910) 410-3710
Organizations & group practices 2
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": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1144836370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E BROAD AVE",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E BROAD AVE",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794908",
"telephone_number": "910-410-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHU",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockingham, NC
- Perfect Balance Therapeutic Massage
- Joshua Steven Perry, PA-C
- Tyronda Rochelle Pettigrew, RT
- Emily Nan Phillips, PA-C
- Melissa Lynn Phillips, LPN
- Pinehurst Surgical Clinic PA
- Pines Quick Care & Family Medicine P.a.
- Pinnacle Family Services of North Carolina LLC
- Cielo A Poloche, LCSW
- Patricia Monroe Powell-Patrick, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.