Janae Leanna Payen

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PHAT.0004514 Issued in CO

Practice address

2730 S Prairie Ave
Pueblo, CO 81005-3167

Phone

(719) 696-6159

Fax

(719) 696-6170

NPI assigned

Jan 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Pueblo, CO
  • NPI 1285093476
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1215528419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 REGENCY BLVD APT M",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051837",
            "telephone_number": "719-778-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053167",
            "telephone_number": "719-696-6159",
            "fax_number": "719-696-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYEN",
        "first_name": "JANAE",
        "middle_name": "LEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CO",
            "license": "PHAT.0004514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jlpayen.s05828@stores.us.wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "2730 S Prairie Ave",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810053167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelynn Clare Paulsen, PT, DPT
• Montie Lee Paulsen
• Kimberly Dawn Pavlicek, COTA
• Pawel R Bielecki, DDS, PC
• Pawel R Bielecki, DDS, PC
• Brandon C Payne, D.D.S., M.D.
• Cody Payne, PT, DPT
• Davon Payne, RBT
• Stephanie Payne, D.O.
• Tammy R Payne, LCSW

• Pharmacy Technician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pharmacy Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.