Active NPI
Jaimi Breelle Christensen, PHARM.D.
- Pharmacist
- Winhall, VT
National Provider Identifier
1316358146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0330003601
- Practice address
- 6 Deep Woods Circle
Winhall, VT 05340 - Phone
- (802) 558-2676
- Fax
- (802) 768-8195
- NPI assigned
- May 14, 2014
- Last updated
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 0330003601 | VT | Primary |
Addresses
Primary practice location
6 Deep Woods Circle
Winhall, VT 05340
Mailing address
PO Box 887
Manchester Center, VT 05255-0887
Phone (802) 558-2676
Other practice location 1
8 Kocher Dr
Bennington, VT 05201-1923
Phone (802) 442-8369
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0330003601 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont CVS Pharmacy, LLC | Past | Accepting new patients | |
| Vermont CVS Pharmacy LLC | 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": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1316358146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 887",
"city": "MANCHESTER CENTER",
"state": "VT",
"postal_code": "052550887",
"telephone_number": "802-558-2676",
"fax_number": "802-768-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DEEP WOODS CIRCLE",
"city": "WINHALL",
"state": "VT",
"postal_code": "05340",
"telephone_number": "802-558-2676",
"fax_number": "802-768-8195"
}
],
"practiceLocations": [
{
"address_1": "8 Kocher Dr",
"address_purpose": "LOCATION",
"city": "Bennington",
"state": "VT",
"postal_code": "052011923",
"country_code": "US",
"telephone_number": "802-442-8369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "JAIMI",
"middle_name": "BREELLE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2021-02-09",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "0330003601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winhall, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.