Jennifer Jill Mishkula-Morgan, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP440295 Issued in PA

Practice address

101 N State St
Clarks Summit, PA 18411-1055

Phone

(570) 587-1205

Fax

(570) 587-4610

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

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

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: rx01597@stores.cvs.com

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1275139321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111055",
            "telephone_number": "570-587-1205",
            "fax_number": "570-587-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111055",
            "telephone_number": "570-587-1205",
            "fax_number": "570-587-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHKULA-MORGAN",
        "first_name": "JENNIFER",
        "middle_name": "JILL",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rx01597@stores.cvs.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "PENNSYLVANIA CVS PHARMACY, L.L.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 N State St",
            "city": "Clarks Summit",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184111055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breanna Miller
• Calandria Miller, DMD
• Kenneth Gordon Miller, DDS
• Kandy Mills, PT
• Jillian Denise Mishko
• Marsha E Modery, MD
• Ashley Anne Monetta, SPEECH THERAPIST
• Jeffrey Michael Montgomery, D.O.
• Michael F Moore, M.D.
• Keith Clint Morris, MA

• Pharmacist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Pharmacist in Pennsylvania

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

Verify at the official NPI Registry.