Active NPI
Jelena Uljarevic Jovic
- Pharmacist
- San Pedro, CA
National Provider Identifier
1164911046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67235
- Practice address
- 1050 N Western Ave
San Pedro, CA 90732-2428 - Phone
- (310) 833-3225
- NPI assigned
- May 6, 2018
- 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 | 67235 | CA | Primary |
Addresses
Primary practice location
1050 N Western Ave
San Pedro, CA 90732-2428
Mailing address
1050 N Western Ave
San Pedro, CA 90732-2428
Phone (310) 833-3225
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 |
|---|---|---|---|
| 67235 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
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": "1525564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525564800000",
"number": "1164911046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 N WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322428",
"telephone_number": "310-833-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322428",
"telephone_number": "310-833-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVIC",
"first_name": "JELENA",
"middle_name": "ULJAREVIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-06",
"last_updated": "2018-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.