Individual provider Active NPI

Jill R Calkins, RPH

  • Pharmacist
  • Monroe, MI
National Provider Identifier
1245401595
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034114 Issued in MI
Practice address
2155 N Telegraph Rd
Monroe, MI 48162-8947
Phone
(734) 242-2385
Fax
(734) 242-2389
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302034114 MI Primary

Addresses

Primary practice location

2155 N Telegraph Rd
Monroe, MI 48162-8947

Mailing address

2155 N Telegraph Rd
Monroe, MI 48162-8947
Phone (734) 242-2385

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

LicenseStateTypeSpecialty
5302034114MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1245401595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481628947",
            "telephone_number": "734-242-2385",
            "fax_number": "734-242-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481628947",
            "telephone_number": "734-242-2385",
            "fax_number": "734-242-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "JILL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.