NPIMap

Individual provider Active NPI

Jesi Personett, RPH, MBA

  • Pharmacist
  • Mooresville, NC
National Provider Identifier
1629360227
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18272 Issued in NC
Practice address
118 Argus LN
Mooresville, NC 28117-6977
Phone
(704) 799-2267
NPI assigned
May 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18272 NC Primary
Pharmacist 183500000X 048093 NY

Addresses

Primary practice location

118 Argus LN
Mooresville, NC 28117-6977

Mailing address

118 Argus LN
Mooresville, NC 28117-6977

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
048093NYMDClinical Social Worker
18272NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Teeter LLC Past Accepting new patients
Harris Teeter, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305331200000",
    "number": "1629360227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ARGUS LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ARGUS LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176977",
            "telephone_number": "704-799-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONETT",
        "first_name": "JESI",
        "name_prefix": "Mr.",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-14",
        "last_updated": "2011-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18272",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.