Individual provider Active NPI

Jessie Blais Nyman

  • Pharmacist
  • Northampton, MA
National Provider Identifier
1518878909
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH1003916 Issued in MA
Practice address
225R King St
Northampton, MA 01060-2361
Phone
(413) 587-2802
Fax
(413) 587-2808
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1003916 MA Primary

Addresses

Primary practice location

225R King St
Northampton, MA 01060-2361

Mailing address

225R King St
Northampton, MA 01060-2361
Phone (413) 587-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1518878909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225R KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602361",
            "telephone_number": "413-587-2802",
            "fax_number": "413-587-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225R KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602361",
            "telephone_number": "413-587-2802",
            "fax_number": "413-587-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "JESSIE",
        "middle_name": "BLAIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH1003916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.