Active NPI
Jennifer Skye Mitchell, RPH, PHARMD
- Pharmacist
- Roslindale, MA
National Provider Identifier
1477927358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60882807
- Practice address
- 4199 Washington St FL 1
Roslindale, MA 02131-1733 - Phone
- (617) 323-4440
- NPI assigned
- Nov 16, 2015
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60882807 | WA | Primary |
Addresses
Primary practice location
4199 Washington St FL 1
Roslindale, MA 02131-1733
Mailing address
1089 Commonwealth Ave Ste 133
Boston, MA 02215-1041
Other practice location 1
930 Commonwealth Ave
Boston, MA 02215-1274
Phone (617) 414-6800
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60882807 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1477927358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 COMMONWEALTH AVE STE 133",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 WASHINGTON ST FL 1",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311733",
"telephone_number": "617-323-4440"
}
],
"practiceLocations": [
{
"address_1": "930 Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022151274",
"country_code": "US",
"telephone_number": "617-414-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JENNIFER",
"middle_name": "SKYE",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60882807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.