Jeremy Dean Jansen, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH0017215 Issued in OR

Practice address

1900 NE 3Rd St Ste 111
Bend, OR 97701-3888

Phone

(800) 748-3243

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1164054052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064705",
            "telephone_number": "712-274-2949",
            "fax_number": "712-274-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NE 3RD ST STE 111",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013888",
            "telephone_number": "800-748-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Sergeant Rd",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511064705",
            "country_code": "US",
            "telephone_number": "712-274-2949",
            "fax_number": "712-274-8072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JEREMY",
        "middle_name": "DEAN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22223",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0017215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Reyes James, NNP
• Nicholas Jameson
• Fahad Jamil, M.D.
• Jana Vanamburg MD PC
• Janet Foliano PSYD LLC
• Julia E Jansen, PMHNP
• Joseph Janssen
• Jared R. Anderson, DDS, PC
• Katie Jarrett, BA
• Jason Holtman DDS LLC

• Pharmacist in Bend, OR
• Providers in Bend, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.