Active NPI
Jennifer Rivera, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1619329240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26253
- Practice address
- 8532 University City Blvd
Charlotte, NC 28213-3579 - Phone
- (704) 549-1593
- Fax
- (704) 549-8391
- NPI assigned
- Jul 7, 2016
- 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 | 26253 | NC | Primary |
Addresses
Primary practice location
8532 University City Blvd
Charlotte, NC 28213-3579
Mailing address
5001 Whitwell CT
Charlotte, NC 28226-2602
Phone (336) 602-4112
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 |
|---|---|---|---|
| 26253 | NC | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1619329240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 WHITWELL CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282262602",
"telephone_number": "336-602-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8532 UNIVERSITY CITY BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133579",
"telephone_number": "704-549-1593",
"fax_number": "704-549-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.