Active NPI
Jenenah A Foller, RPH
- Pharmacist
- Mesa, AZ
National Provider Identifier
1598092108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S13522
- Practice address
- 5941 E McKellips Rd
Mesa, AZ 85215-2754 - Phone
- (480) 830-6343
- Fax
- (480) 981-0156
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | S13522 | AZ | Primary |
Addresses
Primary practice location
5941 E McKellips Rd
Mesa, AZ 85215-2754
Mailing address
815 N Peppertree Dr
Gilbert, AZ 85234-4920
Phone (480) 227-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S13522 | Other | AZ | STATE LICENSE NUMBER |
Other names 1
- Jenenah A Perez
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S13522 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Frys Food and Drug
- Community/Retail Pharmacy
- Mesa, AZ
- NPI 1215979893
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1598092108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 N PEPPERTREE DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344920",
"telephone_number": "480-227-1880",
"fax_number": "480-981-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5941 E MCKELLIPS RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852152754",
"telephone_number": "480-830-6343",
"fax_number": "480-981-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLLER",
"first_name": "JENENAH",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S13522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "S13522",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENENAH",
"last_name": "PEREZ",
"middle_name": "A",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.