Active NPI
Jenna Clemons, PHARMD
- Geriatric Pharmacist
- Springfield, VA
National Provider Identifier
1538693395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 0202214070
- Practice address
- 6501 Loisdale CT
Springfield, VA 22150-1826 - Phone
- (703) 402-4644
- NPI assigned
- Apr 18, 2017
- Last updated
- Apr 18, 2017
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 0202214070 | VA | Primary |
Addresses
Primary practice location
6501 Loisdale CT
Springfield, VA 22150-1826
Mailing address
6501 Loisdale CT.
Springfield, VA 22150
Phone (703) 402-4644
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 |
|---|---|---|---|
| 0202214070 | VA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1538693395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 LOISDALE CT.",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "22150",
"telephone_number": "703-402-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 LOISDALE CT",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501826",
"telephone_number": "703-402-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "JENNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "VA",
"license": "0202214070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.