Active NPI
Jodie Ann Lumbrazo, RPH
- Pharmacist
- Benson, NC
National Provider Identifier
1184872640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13470
- Practice address
- 70 Crape Myrtle Dr Ste 103
Benson, NC 27504-8034 - Phone
- (919) 938-3800
- Fax
- (919) 938-3801
- NPI assigned
- Sep 8, 2008
- Last updated
- Sep 8, 2008
- 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 | 13470 | NC | Primary |
Addresses
Primary practice location
70 Crape Myrtle Dr Ste 103
Benson, NC 27504-8034
Mailing address
70 Crape Myrtle Dr Ste 103
Benson, NC 27504-8034
Phone (919) 938-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0435478 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13470 | NC | MD | Professional Counselor |
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.
-
dba HealthSmart Pharmacy
- Community/Retail Pharmacy
- Benson, NC
- NPI 1841355260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1184872640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 CRAPE MYRTLE DR STE 103",
"city": "BENSON",
"state": "NC",
"postal_code": "275048034",
"telephone_number": "919-938-3800",
"fax_number": "919-938-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 CRAPE MYRTLE DR STE 103",
"city": "BENSON",
"state": "NC",
"postal_code": "275048034",
"telephone_number": "919-938-3800",
"fax_number": "919-938-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMBRAZO",
"first_name": "JODIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435478",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benson, NC
- Liberty Healthcare Group LLC (Liberty Commons NRC of Johnston County)
- Liberty Healthcare Group LLC
- Liberty Healthcare Group LLC (Liberty Commons Nursing and Rehabilitation Center of Johnston County)
- Christina Lo, PHARMD
- Ashley Y Luckett, FNP-C
- Michael Lumbrazo, DC
- Stephanie Luna, PA
- Michelle Hyeon Macdonna, CRNP
- Christopher John Mackinnon, M.D.
- Malek & Knight DDS PA VI (Axiom Dentistry of Benson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.