Active NPI
Jazmin Ann Nelson, CPHT
- Pharmacy Technician
- Johnstown, PA
National Provider Identifier
1386348605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30186098
- Practice address
- 114 Gilbert St
Johnstown, PA 15906-3212 - Phone
- (814) 248-1649
- NPI assigned
- Mar 29, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30186098 | Primary |
Addresses
Primary practice location
114 Gilbert St
Johnstown, PA 15906-3212
Mailing address
114 Gilbert St
Johnstown, PA 15906-3212
Phone (814) 248-1649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30186098 | Other | PHARMACY TECHNICIAN LICENSING BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1386348605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 GILBERT ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159063212",
"telephone_number": "814-248-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 GILBERT ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159063212",
"telephone_number": "814-248-1649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JAZMIN",
"middle_name": "ANN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": "30186098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECHNICIAN LICENSING BOARD",
"identifier": "30186098",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.