Active NPI
Ijeoma Ann Jennings, RPH
- Pharmacist
- Fairfield, CT
National Provider Identifier
1235648106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0012837
- Practice address
- 414 Kings Hwy E
Fairfield, CT 06825-4846 - Phone
- (203) 336-3551
- NPI assigned
- Sep 23, 2017
- Last updated
- Sep 23, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0012837 | CT | Primary |
Addresses
Primary practice location
414 Kings Hwy E
Fairfield, CT 06825-4846
Mailing address
365 Mather St Apt 106
Hamden, CT 06514-3130
Phone (203) 737-0713
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 |
|---|---|---|---|
| PCT.0012837 | CT | 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": "1506124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506124800000",
"number": "1235648106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 MATHER ST APT 106",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065143130",
"telephone_number": "203-737-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 KINGS HWY E",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254846",
"telephone_number": "203-336-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "IJEOMA",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-23",
"last_updated": "2017-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0012837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.