Active NPI
Pamela Jesse, PHARMD
- Pharmacist
- Napa, CA
National Provider Identifier
1417350893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71551
- Practice address
- 1141 Pear Tree LN
Napa, CA 94558-6484 - Phone
- (707) 603-1333
- NPI assigned
- Sep 30, 2014
- Last updated
- Jun 11, 2019
- 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 | 71551 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN
Napa, CA 94558-6484
Mailing address
2700 Willow Pass Rd
Bay Point, CA 94565-6603
Phone (925) 709-0317
Other practice location 1
Lucky Savemart
21001 San Ramon Valley Blvd
san ramon, CA 94583
Phone (925) 828-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71551 | Other | CA | CA BOARD OF PHARMACY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1417350893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WILLOW PASS RD",
"city": "BAY POINT",
"state": "CA",
"postal_code": "945656603",
"telephone_number": "925-709-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN",
"city": "NAPA",
"state": "CA",
"postal_code": "945586484",
"telephone_number": "707-603-1333"
}
],
"practiceLocations": [
{
"address_1": "Lucky Savemart",
"address_2": "21001 San Ramon Valley Blvd",
"address_purpose": "LOCATION",
"city": "san ramon",
"state": "CA",
"postal_code": "94583",
"country_code": "US",
"telephone_number": "925-828-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESSE",
"first_name": "PAMELA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF PHARMACY",
"identifier": "71551",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.