Individual provider Active NPI

Jean Mesmer, RPH

  • Pharmacist
  • Fort Myers, FL
National Provider Identifier
1174861215
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS23797 Issued in FL
Practice address
15880 Summerlin Rd
Ste 200
Fort Myers, FL 33908-9612
Phone
(239) 433-1684
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS23797 FL Primary

Addresses

Primary practice location

15880 Summerlin Rd
Ste 200
Fort Myers, FL 33908-9612

Mailing address

15880 Summerlin Rd
Ste 200
Fort Myers, FL 33908-9612
Phone (239) 433-1684

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
PS23797FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1174861215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD",
            "address_2": "STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089612",
            "telephone_number": "239-433-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD",
            "address_2": "STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089612",
            "telephone_number": "239-433-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESMER",
        "first_name": "JEAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS23797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.