Jeannine H Powell, PHD, CGP

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0005626 Issued in WV

Practice address

1048 White Ave
Morgantown, WV 26501-6268

Phone

(304) 216-6772

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1629143797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 WHITE AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016268",
            "telephone_number": "304-216-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 WHITE AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016268",
            "telephone_number": "304-216-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JEANNINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD, CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "WV",
            "license": "RP0005626",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0005626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF PHARMACY",
            "identifier": "RP0005626",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James John Poulos, DDS
• Derrick I Pounds
• Fred Pounds, NP-C
• Haven Powell, RN
• Jada Lauren Powell, NP-C
• Sadie Powell
• Sadie Powell, PA-C
• Saige Powell, MS, RDN, LDN
• Stephen R Powell, M.D.
• Martha Power, CFNP

• Pharmacist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.