Jennifer Bophachan Tep-Cuadro, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202206229 Issued in VA

Practice address

1200 N Main St
Suffolk, VA 23434-4321

Phone

(757) 925-0580

NPI assigned

Apr 23, 2007

Last updated

Dec 29, 2017By 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

Other identifiers 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

Practice roles

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.

• Cuadro Home Care Incorporated

  • Home Health Agency
  • Carrollton, VA
  • NPI 1629585674
  NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1356569354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14192 CHAPMANS LN",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233149718",
            "telephone_number": "757-560-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344321",
            "telephone_number": "757-925-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEP-CUADRO",
        "first_name": "JENNIFER",
        "middle_name": "BOPHACHAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP-E",
            "identifier": "228003",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas T Taylor
• Edward Tem, CRNA
• Tender Care Corporation (Tremaine Home Health Care)
• Tender Loving Care Health Care Services Southeast, L.L.C (Tender Loving Care)
• Tender Touch
• Kecia Monique Terrelonge
• Sarah Kathleen Terrible, OTR
• The Baldwin House
• The Healing Haven LLC
• The Help Home Health Care Agency

• Pharmacist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.