Active NPI
Mayelin Jimenez
- Pharmacy Technician
- East Hartford, CT
National Provider Identifier
1437411477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PTN0003076
- Practice address
- 287 Main St
Suite a-2
East Hartford, CT 06118-1885 - Phone
- (860) 785-6052
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PTN0003076 | CT | Primary |
Addresses
Primary practice location
287 Main St
Suite a-2
East Hartford, CT 06118-1885
Mailing address
287 Main St
Suite a-2
East Hartford, CT 06118-1885
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 |
|---|---|---|---|
| PTN0003076 | CT | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1437411477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 MAIN ST",
"address_2": "SUITE A-2",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061181885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 MAIN ST",
"address_2": "SUITE A-2",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061181885",
"telephone_number": "860-785-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "MAYELIN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CT",
"license": "PTN0003076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.