Jeremy Michael Zimmer

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

2910 Pine Grove Ave
Port Huron, MI 48060-1976

Phone

(810) 987-3663

Fax

(810) 987-1411

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1194398057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 LOCUST ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604121",
            "telephone_number": "810-858-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601976",
            "telephone_number": "810-987-3663",
            "fax_number": "810-987-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Ziegler
• Rebecca Zielinski, BA
• Joseph Fredrick Zima, LMSW
• Zimmer Chiropractic Clinic, P.C.
• Gregory A Zimmer, D.C.
• Penny Zinzo
• Zion Care LLC
• Jessica Zirnis
• Karen Zisler
• Tyler Zobl

• Pharmacy Technician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.