Individual provider Active NPI

Jennifer Nichole Spritzer

  • Pharmacist
  • Johnstown, NY
National Provider Identifier
1174845432
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053449 Issued in NY
Practice address
147 N Comrie Ave
Johnstown, NY 12095-1906
Phone
(518) 762-4311
Fax
(518) 762-5235
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 053449 NY Primary

Addresses

Primary practice location

147 N Comrie Ave
Johnstown, NY 12095-1906

Mailing address

803 S Melcher St
Johnstown, NY 12095-3218
Phone (518) 496-8787

Other practice location 1

44 W Main St
Johnstown, NY 12095-2308
Phone (518) 496-8787

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

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1174845432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MELCHER ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953218",
            "telephone_number": "518-496-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N COMRIE AVE",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120951906",
            "telephone_number": "518-762-4311",
            "fax_number": "518-762-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 W Main St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "NY",
            "postal_code": "120952308",
            "country_code": "US",
            "telephone_number": "518-496-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRITZER",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.