Active NPI
Tessa Jimenez, PHARM.D.
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1679020994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0009729
- Practice address
- VA Healthcare System, University Drive C
Pittsburgh, PA 15240 - Phone
- (412) 360-1035
- NPI assigned
- Sep 2, 2016
- 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 | RP0009729 | WV | Primary |
Addresses
Primary practice location
VA Healthcare System, University Drive C
Pittsburgh, PA 15240
Mailing address
417 Skylark Dr
Moon Township, PA 15108-8945
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 |
|---|---|---|---|
| RP0009729 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1679020994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 SKYLARK DR",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151088945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA HEALTHCARE SYSTEM, UNIVERSITY DRIVE C",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15240",
"telephone_number": "412-360-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "TESSA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.