Katelyn Anne Jury, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303033293 Issued in MI

Practice address

1339 E Grand River Ave
Portland, MI 48875-1629

Phone

(517) 647-4704

Fax

(517) 647-6896

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: katelyn.a.jury@riteaid.com

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1669048138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 VESSEY ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751564",
            "telephone_number": "517-604-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751629",
            "telephone_number": "517-647-4704",
            "fax_number": "517-647-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURY",
        "first_name": "KATELYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303033293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katelyn.A.Jury@riteaid.com",
            "affiliation": "N",
            "address_1": "1339 E Grand River Ave",
            "city": "Portland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488751629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Peter Hutnik, D.D.S.
• Ionia County Memorial Hospital (FHC-Portland RHC)
• Jennifer Culp Chiropractic, Inc.
• Laura S Johnson, CCC-SLP
• Katelyn Jonak
• KC Assisted Living Corporation
• Christina Knoop, NP
• Ryan Koolen, D.C.
• Krystal Kempf Eye Care PLLC
• Terri Leann Lay

• Pharmacy Technician in Portland, MI
• Providers in Portland, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.