Individual provider Active NPI

Jennifer Maybin Hamilton, PHARM.D.

  • Geriatric Pharmacist
  • Greensboro, NC
National Provider Identifier
1639377948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
8764 Issued in NC
Practice address
12 Oak Branch Dr Ste a
Greensboro, NC 27407-2398
Phone
(336) 854-5758
Fax
(336) 854-5512
NPI assigned
Jul 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 8764 NC Primary

Addresses

Primary practice location

12 Oak Branch Dr Ste a
Greensboro, NC 27407-2398

Mailing address

5 Pineburr CT
Greensboro, NC 27455-1737
Phone (336) 282-2598

Other identifiers 2

IdentifierTypeStateIssuer
7000022OtherNCCLINICAL PHARMACIST PRACT
8764OtherNCSTATE PHARMACIST LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639377948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PINEBURR CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551737",
            "telephone_number": "336-282-2598",
            "fax_number": "336-282-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OAK BRANCH DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072398",
            "telephone_number": "336-854-5758",
            "fax_number": "336-854-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JENNIFER",
        "middle_name": "MAYBIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NC",
            "license": "8764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PHARMACIST PRACT",
            "identifier": "7000022",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "8764",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.