Active NPI
Jamie Liszka Pope, PHARMD, CGP
- Geriatric Pharmacist
- Charlotte, NC
National Provider Identifier
1205023108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 16016
- Practice address
- 2701 Freedom Dr
Charlotte, NC 28208-3853 - Phone
- (704) 399-4611
- Fax
- (704) 392-2790
- NPI assigned
- Sep 25, 2007
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 16016 | NC | Primary |
Addresses
Primary practice location
2701 Freedom Dr
Charlotte, NC 28208-3853
Mailing address
2701 Freedom Dr
Charlotte, NC 28208-3853
Phone (704) 399-4611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0607390 | 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16016 | NC | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1205023108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 FREEDOM DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282083853",
"telephone_number": "704-399-4611",
"fax_number": "704-392-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 FREEDOM DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282083853",
"telephone_number": "704-399-4611",
"fax_number": "704-392-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "JAMIE",
"middle_name": "LISZKA",
"name_prefix": "Dr.",
"credential": "PHARMD, CGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NC",
"license": "16016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0607390",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.