Active NPI
Jessica Ann Robinson, PHARMD
- Pharmacist
- Rensselaer, IN
National Provider Identifier
1376149302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26024607A
- Practice address
- 107 N Cullen St
Rensselaer, IN 47978-2643 - Phone
- (219) 866-5400
- NPI assigned
- Dec 6, 2020
- Last updated
- Dec 6, 2020
- 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 | 26024607A | IN | Primary |
Addresses
Primary practice location
107 N Cullen St
Rensselaer, IN 47978-2643
Mailing address
1017 Scouts Bluff Rd
Rensselaer, IN 47978-5118
Phone (219) 863-7918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rensselaer | Direct |
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 |
|---|---|---|---|
| 26024607A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1607212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607212800000",
"number": "1376149302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 SCOUTS BLUFF RD",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479785118",
"telephone_number": "219-863-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N CULLEN ST",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479782643",
"telephone_number": "219-866-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-06",
"last_updated": "2020-12-06",
"certification_date": "2020-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024607A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rensselaer",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "107 N Cullen St",
"city": "Rensselaer",
"state": "IN",
"country_code": "US",
"postal_code": "479782643",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rensselaer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.