Active NPI
Jenna Raynor
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1194249441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27254
- Practice address
- 3590 Sunset Ave
Rocky Mount, NC 27804-3408 - Phone
- (252) 443-5101
- NPI assigned
- Jul 28, 2017
- 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 | 27254 | NC | Primary |
Addresses
Primary practice location
3590 Sunset Ave
Rocky Mount, NC 27804-3408
Mailing address
500 Treybrooke Cir Apt 24
Greenville, NC 27834-7893
Phone (716) 581-1007
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 |
|---|---|---|---|
| 27254 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1194249441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 TREYBROOKE CIR APT 24",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347893",
"telephone_number": "716-581-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043408",
"telephone_number": "252-443-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.