Active NPI
Jasmine S Overfelt
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Campbellsville, KY
National Provider Identifier
1174122543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 018732
- Practice address
- 399 Campbellsville Byp
Campbellsville, KY 42718-8831 - Phone
- (270) 465-5782
- Fax
- (270) 789-1463
- NPI assigned
- Oct 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 018732 | KY | Primary |
Addresses
Primary practice location
399 Campbellsville Byp
Campbellsville, KY 42718-8831
Mailing address
399 Campbellsville Byp
Campbellsville, KY 42718-8831
Phone (270) 465-5782
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 |
|---|---|---|---|
| 018732 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1174122543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 CAMPBELLSVILLE BYP",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427188831",
"telephone_number": "270-465-5782",
"fax_number": "270-789-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 CAMPBELLSVILLE BYP",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427188831",
"telephone_number": "270-465-5782",
"fax_number": "270-789-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERFELT",
"first_name": "JASMINE",
"middle_name": "S",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-18",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "018732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.