Active NPI
Jennifer Raymo, CPHT
- Pharmacy Technician
- Fremont, MI
National Provider Identifier
1437981909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303039537
- Practice address
- 819 W Main St
Fremont, MI 49412-1416 - Phone
- (843) 323-2061
- NPI assigned
- Aug 14, 2024
- Last updated
- Aug 14, 2024
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303039537 | MI | Primary |
Addresses
Primary practice location
819 W Main St
Fremont, MI 49412-1416
Mailing address
2779 W 24TH St
Fremont, MI 49412-9720
Phone (843) 323-2061
Other names 1
- Jennifer Root
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 |
|---|---|---|---|
| 5303039537 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1437981909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2779 W 24TH ST",
"city": "FREMONT",
"state": "MI",
"postal_code": "494129720",
"telephone_number": "843-323-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 W MAIN ST",
"city": "FREMONT",
"state": "MI",
"postal_code": "494121416",
"telephone_number": "843-323-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMO",
"first_name": "JENNIFER",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303039537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ROOT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fremont, MI
- Raymond Prins III, DDS
- Pulmonary Home Care, Inc.
- JC Ransom, LMSW
- David Gerald Raquet, MA LMFT, LLP
- Kira Lynn Raquet
- Mary Louise Redding
- Reeman Christian Reformed Church
- Regional Psychology and Wellness, LLC
- Donald B. Reinders, M.D.
- Retirement Living Management of Fremont, L.L.C. (Green Acres of Fremont)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.