Jennifer Sim

Primary specialty

PharmacistTaxonomy code 183500000X

License

057794 Issued in NY

Practice address

350 S Broadway
Tarrytown, NY 10591-5601

Phone

(914) 333-8914

Fax

(914) 333-8919

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1578014759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915601",
            "telephone_number": "914-333-8914",
            "fax_number": "914-333-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915601",
            "telephone_number": "914-333-8914",
            "fax_number": "914-333-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03530201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Harris, PSYD, PC
• Shoshana Shinnar, RD
• Jennifer Lynn Shoemaker
• Erel Shvil, PH.D.
• Cassandra Sica, LMFT
• Robert Vincent Sindoni, LCSW, PH.D.
• Nicholas Singman, LCSW
• Diane L Slonim, PH.D.
• Allashia Katina Smith-Harris, MHC
• Kimberly L Smith, DPT

• Pharmacist in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.