Active NPI
Jennifer Ann Sanders, PHARMD,MBA,BS
- Pharmacist
- Stephens City, VA
National Provider Identifier
1407064629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202205753
- Practice address
- 410 Fairfax Pike
Stephens City, VA 22655-2969 - Phone
- (540) 869-2212
- Fax
- (540) 868-2439
- NPI assigned
- May 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202205753 | VA | Primary |
| Pharmacist | 183500000X | 16517 | MD |
Addresses
Primary practice location
410 Fairfax Pike
Stephens City, VA 22655-2969
Mailing address
310 Clydesdale Dr
Stephens City, VA 22655-4825
Phone (540) 869-5359
Other names 1
- Dr. Jennifer Ann Pierce
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
- Bachelor of Science, Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16517 | MD | MD | Pharmacist |
| 0202205753 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407064629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CLYDESDALE DR",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226554825",
"telephone_number": "540-869-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 FAIRFAX PIKE",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226552969",
"telephone_number": "540-869-2212",
"fax_number": "540-868-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD,MBA,BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202205753",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16517",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PIERCE",
"middle_name": "ANN",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stephens City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.