Individual provider Active NPI

John Jay Jensen, R.PH

  • Pharmacist
  • Hammonton, NJ
National Provider Identifier
1497012546
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02273300 Issued in NJ
Practice address
80 S White Horse Pike
Hammonton, NJ 08037-1862
Phone
(609) 567-4275
Fax
(609) 567-4283
NPI assigned
Apr 13, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 271058 WV
Pharmacist 183500000X 28RI02273300 NJ Primary

Addresses

Primary practice location

80 S White Horse Pike
Hammonton, NJ 08037-1862

Mailing address

2150 7TH Ave
Hammonton, NJ 08037-4300
Phone (609) 567-4275

Other identifiers 2

IdentifierTypeStateIssuer
271058OtherWVWV PHARMACY LICENSE
28RI02273300OtherNJNJ PHARMACY LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02273300NJMDPharmacist
271058WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hammonton Eyecare LLC PastSince Sep 13, 2016 Accepting new patients
Village Super Market of NJ LP Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1497012546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 7TH AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080374300",
            "telephone_number": "609-567-4275",
            "fax_number": "609-567-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371862",
            "telephone_number": "609-567-4275",
            "fax_number": "609-567-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JOHN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "271058",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02273300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV PHARMACY LICENSE",
            "identifier": "271058",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PHARMACY LICENSE",
            "identifier": "28RI02273300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.