Active NPI
Jennifer Lee Beeson, RPH
- Pharmacist
- Radford, VA
National Provider Identifier
1356319404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011280
- Practice address
- 243 W Main St
Radford, VA 24141-1584 - Phone
- (540) 639-3996
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011280 | VA | Primary |
Addresses
Primary practice location
243 W Main St
Radford, VA 24141-1584
Mailing address
106 Woodbine Dr
Blacksburg, VA 24060-1438
Phone (540) 953-2589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202011280 | Other | VA | STATE PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011280 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356319404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 WOODBINE DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240601438",
"telephone_number": "540-953-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 W MAIN ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241411584",
"telephone_number": "540-639-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESON",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "0202011280",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Radford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.