Active NPI
Jennifer Lynn Hom
- Pharmacist
- Victorville, CA
National Provider Identifier
1548032451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88835
- Practice address
- 12370 Hesperia Rd Ste 5
Victorville, CA 92395-4787 - Phone
- (760) 245-4747
- NPI assigned
- Oct 24, 2023
- 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 | 88835 | CA | Primary |
Addresses
Primary practice location
12370 Hesperia Rd Ste 5
Victorville, CA 92395-4787
Mailing address
9519 Cecilwood Dr
Santee, CA 92071-1423
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88835 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- jennifer.hom.p2@direct.hvvmg.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1548032451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9519 CECILWOOD DR",
"city": "SANTEE",
"state": "CA",
"postal_code": "920711423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12370 HESPERIA RD STE 5",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954787",
"telephone_number": "760-245-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOM",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.