Individual provider Active NPI

Joanne R Jansen, PHARMD, BCACP

  • Ambulatory Care Pharmacist
  • Fort Knox, KY
National Provider Identifier
1326328139
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
015066 Issued in KY
Practice address
200 Brule Street
Attn: Pharmacy
Fort Knox, KY 40121
Phone
(502) 626-9865
Fax
(502) 624-0333
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015066 KY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 015066 KY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26023873A IN
Ambulatory Care Pharmacist 1835P2201X 015066 KY Primary

Addresses

Primary practice location

200 Brule Street
Attn: Pharmacy
Fort Knox, KY 40121

Mailing address

289 Ireland Ave
BLDG 851, Room NBG-30
Fort Knox, KY 40121-5111
Phone (502) 624-9478

Other names 1

  • Joanne R Logsdon Former name

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

LicenseStateTypeSpecialty
26023873AINMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
015066KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1326328139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 IRELAND AVE",
            "address_2": "BLDG 851, ROOM NBG-30",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401215111",
            "telephone_number": "502-624-9478",
            "fax_number": "502-624-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRULE STREET",
            "address_2": "ATTN: PHARMACY",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "40121",
            "telephone_number": "502-626-9865",
            "fax_number": "502-624-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JOANNE",
        "middle_name": "R",
        "credential": "PHARMD, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015066",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "015066",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26023873A",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "KY",
            "license": "015066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "LOGSDON",
            "middle_name": "R",
            "credential": "PHARMD, BCACP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Knox, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.