Individual provider Active NPI

Amanda Jobst

  • Pharmacy Technician
  • Glen Burnie, MD
National Provider Identifier
1518357334
Registry record updated Feb 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T15446 Issued in MD
Practice address
7951 Nolpark CT
Glen Burnie, MD 21061-5205
Phone
(410) 969-2389
Fax
(443) 274-3345
NPI assigned
Feb 1, 2015
Last updated
Feb 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T15446 MD Primary

Addresses

Primary practice location

7951 Nolpark CT
Glen Burnie, MD 21061-5205

Mailing address

7951 Nolpark CT
Glen Burnie, MD 21061-5205
Phone (410) 969-2389

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

State licenses

LicenseStateTypeSpecialty
T15446MDMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1518357334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 NOLPARK CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615205",
            "telephone_number": "410-969-2389",
            "fax_number": "443-274-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 NOLPARK CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615205",
            "telephone_number": "410-969-2389",
            "fax_number": "443-274-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBST",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MD",
            "license": "T15446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.