Individual provider Active NPI

Jennifer Mari Cornforth, PHARMD.

  • Pharmacist
  • Long Beach, CA
National Provider Identifier
1598262529
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
78334 Issued in CA
Practice address
6257 Majorca Cir
Long Beach, CA 90803-4814
Phone
(386) 212-2326
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34997 FL
Pharmacist 183500000X 78334 CA Primary

Addresses

Primary practice location

6257 Majorca Cir
Long Beach, CA 90803-4814

Mailing address

6257 Majorca Cir
Long Beach, CA 90803-4814
Phone (386) 212-2326

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

LicenseStateTypeSpecialty
78334CAMDPharmacist
PS34997FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1598262529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 MAJORCA CIR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034814",
            "telephone_number": "386-212-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 MAJORCA CIR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034814",
            "telephone_number": "386-212-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFORTH",
        "first_name": "JENNIFER",
        "middle_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34997",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.