Individual provider Active NPI

Jennyfer Kristine Jurado, RPH

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1164157004
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83556 Issued in CA
Practice address
5236 Santa Monica Blvd
Los Angeles, CA 90029-1210
Phone
(323) 661-7152
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83556 CA Primary

Addresses

Primary practice location

5236 Santa Monica Blvd
Los Angeles, CA 90029-1210

Mailing address

1708 Wright St
Pomona, CA 91766-1107

Other practice location 1

13745 Victory Blvd
Van Nuys, CA 91401-2348
Phone (818) 782-7152

Other practice location 2

1200 S Central Ave
Glendale, CA 91204-2504
Phone (818) 240-7152

Other practice location 3

12509 Victory Blvd
North Hollywood, CA 91606-3135
Phone (818) 508-7154

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
83556CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hye Pharmacy Inc Past Accepting new patients
Hye Pharmacy Inc Past Accepting new patients
Hye Pharmacy Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1164157004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 WRIGHT ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291210",
            "telephone_number": "323-661-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13745 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914012348",
            "country_code": "US",
            "telephone_number": "818-782-7152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042504",
            "country_code": "US",
            "telephone_number": "818-240-7152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12509 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063135",
            "country_code": "US",
            "telephone_number": "818-508-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURADO",
        "first_name": "JENNYFER",
        "middle_name": "KRISTINE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.