Individual provider Active NPI

Jasmine C Purpura, PHARM D

  • Pharmacist
  • Cedar Rapids, IA
National Provider Identifier
1477223147
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24275 Issued in IA
Practice address
20 Wilson Ave SW
Cedar Rapids, IA 52404-5684
Phone
(319) 362-3649
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24275 IA Primary

Addresses

Primary practice location

20 Wilson Ave SW
Cedar Rapids, IA 52404-5684

Mailing address

20 Wilson Ave SW
Cedar Rapids, IA 52404-5684
Phone (319) 362-3649

Other practice location 1

4035 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3801
Phone (319) 362-7900

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

State licenses

LicenseStateTypeSpecialty
24275IAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1477223147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045684",
            "telephone_number": "319-362-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045684",
            "telephone_number": "319-362-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 Mount Vernon Rd SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524033801",
            "country_code": "US",
            "telephone_number": "319-362-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURPURA",
        "first_name": "JASMINE",
        "middle_name": "C",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.