Active NPI
Jessica Xu, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1659150258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 070731
- Practice address
- 589 Prospect Ave
Brooklyn, NY 11215-6020 - Phone
- (347) 955-3029
- NPI assigned
- Sep 25, 2023
- Last updated
- Oct 18, 2023
- 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 | 070731 | NY | Primary |
Addresses
Primary practice location
589 Prospect Ave
Brooklyn, NY 11215-6020
Mailing address
1799 Shore Pkwy
Brooklyn, NY 11214-6632
Phone (347) 206-4591
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 |
|---|---|---|---|
| 070731 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
589 Prospect Ave
Brooklyn, NY 11215
Phone (347) 955-3029
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1659150258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1799 SHORE PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146632",
"telephone_number": "347-206-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 PROSPECT AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156020",
"telephone_number": "347-955-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "JESSICA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "070731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.