Active NPI
Jeffery Paul Joy
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1427335892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113725
- Practice address
- 1665 White Bear Ave N
Saint Paul, MN 55106-1611 - Phone
- (651) 251-1933
- NPI assigned
- Nov 13, 2011
- Sex
- Male
- 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 | 113725 | MN | Primary |
Addresses
Primary practice location
1665 White Bear Ave N
Saint Paul, MN 55106-1611
Mailing address
2963 McKnight Rd N
Maplewood, MN 55109-1540
Phone (651) 773-9021
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 |
|---|---|---|---|
| 113725 | MN | MD | Pharmacist |
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 and National Provider Directory roles.
-
- Pharmacy
- Saint Paul, MN
- NPI 1023024668
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321142400000",
"number": "1427335892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2963 MCKNIGHT RD N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091540",
"telephone_number": "651-773-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 WHITE BEAR AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551061611",
"telephone_number": "651-251-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOY",
"first_name": "JEFFERY",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-13",
"last_updated": "2011-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.