Individual provider Active NPI

Jennifer A Cavin

  • Pharmacy Technician
  • Springfield, VA
National Provider Identifier
1184014995
Registry record updated Feb 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230021343 Issued in VA
Practice address
6600 Springfield Mall
Springfield, VA 22150-1712
Phone
(703) 921-9003
Fax
(571) 388-5217
NPI assigned
Feb 1, 2015
Last updated
Feb 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230021343 VA Primary

Addresses

Primary practice location

6600 Springfield Mall
Springfield, VA 22150-1712

Mailing address

3802 Elmwood Dr
Alexandria, VA 22303-1133
Phone (717) 586-5151

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

LicenseStateTypeSpecialty
0230021343VAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1184014995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 ELMWOOD DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031133",
            "telephone_number": "717-586-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SPRINGFIELD MALL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501712",
            "telephone_number": "703-921-9003",
            "fax_number": "571-388-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVIN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230021343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.