Active NPI
Jennifer Kay Stubson, PHARMD
- Pharmacist
- Fort Totten, ND
National Provider Identifier
1487932794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5401
- Practice address
- 3883 74TH Ave NE
Fort Totten, ND 58335 - Phone
- (701) 766-1657
- Fax
- (701) 766-1625
- NPI assigned
- Aug 3, 2011
- 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 | 5401 | ND | Primary |
Addresses
Primary practice location
3883 74TH Ave NE
Fort Totten, ND 58335
Mailing address
PO Box 309
Fort Totten, ND 58335-0309
Phone (701) 766-1657
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5401 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1487932794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "583350309",
"telephone_number": "701-766-1657",
"fax_number": "701-766-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 74TH AVE NE",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "58335",
"telephone_number": "701-766-1657",
"fax_number": "701-766-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBSON",
"first_name": "JENNIFER",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Totten, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.