Jessy John
Individual provider Active NPI Pharmacist · Allendale, NJ
NPI 1447579834 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1447579834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02770400 (NJ)
- Practice address
- 44 W Allendale Ave
Allendale, NJ 07401-1718 - Phone
- (201) 327-4901
- Fax
- (201) 327-2639
- NPI assigned
- May 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02770400 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02770400 | NJ | Yes |
Addresses
Primary practice location
44 W Allendale Ave
Allendale, NJ 07401-1718
Mailing address
44 W Allendale Ave
Allendale, NJ 07401-1718
Phone (201) 327-4901
NPI Registry JSON
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1447579834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 W ALLENDALE AVE",
"city": "ALLENDALE",
"state": "NJ",
"postal_code": "074011718",
"telephone_number": "201-327-4901",
"fax_number": "201-327-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W ALLENDALE AVE",
"city": "ALLENDALE",
"state": "NJ",
"postal_code": "074011718",
"telephone_number": "201-327-4901",
"fax_number": "201-327-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JESSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02770400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allendale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.