Active NPI
Patsylynn Jetley
- Pharmacist
- Saipan, MP
National Provider Identifier
1295476653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0111
- Practice address
- 101 Akari Building
Saipan, MP 96950 - Phone
- (670) 233-2668
- NPI assigned
- Apr 7, 2022
- Last updated
- Apr 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4721 | HI | |
| Pharmacist | 183500000X | 0111 | MP | Primary |
Addresses
Primary practice location
101 Akari Building
Saipan, MP 96950
Mailing address
PMB 761 Box 10003
Saipan, MP 96950
Other names 1
- Patsylynn Cepeda
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4721 | HI | MD | Pharmacist |
| 0111 | MP | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1295476653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 761 BOX 10003",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AKARI BUILDING",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-233-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETLEY",
"first_name": "PATSYLYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2022-04-07",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "4721",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MP",
"license": "0111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATSYLYNN",
"last_name": "CEPEDA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Saipan, MP
- Rose Patria Indalecio, RN
- Isla Permanente, LLC (Guma Hinemlu)
- Hani Amin Ismail, M.D.
- Elizabeth Emma Itibus
- Bodch Trinidad Camacho Ito, RN
- Alexander Johanson, PA-C
- Joseph L. Lescano
- Joseph L. Lescano (Medquest Medical Supply)
- Kagman Community Health Center Inc (Kagman Community Health Center)
- Kagman Community Health Center, Inc. (Southern Isla Community Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.