Jeremy Supetran, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH75946 Issued in CA

Practice address

217 Soscol Ave
Napa, CA 94559-4007

Phone

(707) 224-1269

NPI assigned

Oct 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Raleys

  • Community/Retail Pharmacy
  • Galt, CA
  • NPI 1174633820
  NPD (past)

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509753600000",
    "number": "1245742428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOSCOL AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594007",
            "telephone_number": "707-224-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOSCOL AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594007",
            "telephone_number": "707-224-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPETRAN",
        "first_name": "JEREMY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-28",
        "last_updated": "2017-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH75946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuzhat Sultana, MFTI
• Damaje Summers
• Summerville at Cobbco, Inc.
• Catherin Mary Sunnafrank, RESPIRATORY CARE
• Superintendent of School Napa County
• Alexis Surratt
• Scott Tracy Sutherland, DO
• Alice L Sutton, LCSW
• Markley Stevens Sutton, PH.D.
• Paul D Sweigert, MD

• Pharmacist in Napa, CA
• Providers in Napa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.