Active NPI
Jennifer Lynn Shepard
- Pharmacist
- King of Prussia, PA
National Provider Identifier
1184929564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP443747L
- Practice address
- 600 Allendale Rd
King of Prussia, PA 19406-1418 - Phone
- (610) 631-3106
- NPI assigned
- Jan 17, 2011
- 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 | 183500000X | RP443747L | PA | Primary |
Addresses
Primary practice location
600 Allendale Rd
King of Prussia, PA 19406-1418
Mailing address
803 Lincoln Dr
Brookhaven, PA 19015-1020
Phone (610) 742-8664
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 |
|---|---|---|---|
| RP443747L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295222400000",
"number": "1184929564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 LINCOLN DR",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151020",
"telephone_number": "610-742-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ALLENDALE RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061418",
"telephone_number": "610-631-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2011-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP443747L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.