Jennifer Petschauer, PHARMD
Individual provider Active NPI Pharmacist · Morrisville, NC
NPI 1609200872 · NPPES record last updated Aug 23, 2013
Key facts
- NPI
- 1609200872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23287 (NC)
- Practice address
- 3001 Market Center Dr
Morrisville, NC 27560-7505 - Phone
- (919) 379-2181
- NPI assigned
- Aug 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23287 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23287 | NC | Yes |
Addresses
Primary practice location
3001 Market Center Dr
Morrisville, NC 27560-7505
Mailing address
3001 Market Center Dr
Morrisville, NC 27560-7505
Phone (919) 379-2181
Other providers in Morrisville, NC
- Ginger Sweeney Pearcy
- Martha G Peck
- Patricia V Pencil
- Mikayla Penney
- Pamela Braaten Perry
- Pgxhealth, LLC
- Pharmscript of NC LLC
- Tyler Pidgeon
- Dezyre Plummer
- Matthew Plymyer
All providers in Morrisville, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.