Active NPI
Paul Jensen, RPH
- Pharmacist
- Sioux City, IA
National Provider Identifier
1225657976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15947
- Practice address
- 3301 Floyd Blvd
Sioux City, IA 51108 - Phone
- (712) 239-8913
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- 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 | 15947 | IA | Primary |
Addresses
Primary practice location
3301 Floyd Blvd
Sioux City, IA 51108
Mailing address
1409 220TH St
Sergeant Bluff, IA 51054-8022
Phone (712) 899-4060
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15947 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1225657976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 220TH ST",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510548022",
"telephone_number": "712-899-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 FLOYD BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51108",
"telephone_number": "712-239-8913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "PAUL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.