Active NPI
Jane Sundberg, PHARMD
- Psychiatric Pharmacist
- Rochester, NY
National Provider Identifier
1619182847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 038530-1
- Practice address
- 601 Elmwood Box 638
Rochester, NY 14642-1228 - Phone
- (585) 275-3606
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 038530-1 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Box 638
Rochester, NY 14642-1228
Mailing address
601 Elmwood Box 638
Rochester, NY 14642-1228
Phone (585) 275-3606
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038530-1 | NY | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1619182847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD BOX 638",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146421228",
"telephone_number": "585-275-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD BOX 638",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146421228",
"telephone_number": "585-275-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDBERG",
"first_name": "JANE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NY",
"license": "038530-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.