Active NPI
Jennifer Collett, PHARMD
- Pharmacist
- Newport, KY
National Provider Identifier
1205119997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014208
- Practice address
- 1601 Monmouth St
Newport, KY 41071-2634 - Phone
- (859) 291-7343
- Fax
- (859) 291-8169
- NPI assigned
- Sep 20, 2011
- Last updated
- Jan 2, 2013
- 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 | 014208 | KY | Primary |
Addresses
Primary practice location
1601 Monmouth St
Newport, KY 41071-2634
Mailing address
1601 Monmouth St
Newport, KY 41071-2634
Phone (859) 291-7343
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 |
|---|---|---|---|
| 014208 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1205119997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MONMOUTH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712634",
"telephone_number": "859-291-7343",
"fax_number": "859-291-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MONMOUTH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712634",
"telephone_number": "859-291-7343",
"fax_number": "859-291-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETT",
"first_name": "JENNIFER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
- Sherry Lynn Chegwidden, LPN
- Irene Cheruiyot, APRN
- City of Newport Office of Treasurer (newport fire department ambulance service)
- CJB Health Care LLC (The Clinic at Newport Drug Center)
- Diane Marie Coletta, RN,ARNP
- Heather Columbia-Kinney, APRN
- Randall Evan Combs
- Colleen Connaughton, APRN
- Connect Counselors
- Mark Douglas Cooper, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.