Active NPI
Jenae Robertz
- Pharmacist
- Saginaw, MI
National Provider Identifier
1376213884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302413573
- Practice address
- 1522 Janes Ave
Saginaw, MI 48601-1819 - Phone
- (989) 755-3633
- Fax
- (989) 755-3614
- NPI assigned
- Sep 16, 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 | 5302413573 | MI | Primary |
Addresses
Primary practice location
1522 Janes Ave
Saginaw, MI 48601-1819
Mailing address
11 W Hannum Blvd
Saginaw, MI 48602-1938
Phone (269) 368-8247
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413573 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1376213884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 W HANNUM BLVD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486021938",
"telephone_number": "269-368-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 JANES AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486011819",
"telephone_number": "989-755-3633",
"fax_number": "989-755-3614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTZ",
"first_name": "JENAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.