Active NPI
Jennifer Jane Sanders, RPH
- Pharmacist
- Yorktown, VA
National Provider Identifier
1396811238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202012179
- Practice address
- 101 Village Ave
Yorktown, VA 23693-5633 - Phone
- (757) 880-6131
- NPI assigned
- Nov 24, 2006
- 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 | 0202012179 | VA | Primary |
Addresses
Primary practice location
101 Village Ave
Yorktown, VA 23693-5633
Mailing address
508 Meadowfield Rd
Yorktown, VA 23692-4637
Phone (757) 880-6131
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 |
|---|---|---|---|
| 0202012179 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1396811238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 MEADOWFIELD RD",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236924637",
"telephone_number": "757-880-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 VILLAGE AVE",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236935633",
"telephone_number": "757-880-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIFER",
"middle_name": "JANE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202012179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.