Individual provider Active NPI

Jennifer L Winstead, CPHT

  • Pharmacy Technician
  • Chesnee, SC
National Provider Identifier
1679726210
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
12901 Issued in SC
Practice address
102 S Alabama Ave
Chesnee, SC 29323-1502
Phone
(864) 461-2314
Fax
(864) 461-5384
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

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

State licenses

LicenseStateTypeSpecialty
12901SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Eye & Laser Center, LLC Current Accepting new patients
Carolina Specialty Eye Surgery, LLC Current Accepting new patients
Cash and Henderson Drugs Past Accepting new patients
Cash & Henderson Drugs Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 12901 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

102 S Alabama Ave
Chesnee, SC 29323-1502

Mailing address

102 S Alabama Ave
Chesnee, SC 29323-1502
Phone (864) 461-2314

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
12901OtherSCSC BOARD OF PHARMACY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2008.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1679726210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S ALABAMA AVE",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293231502",
            "telephone_number": "864-461-2314",
            "fax_number": "864-461-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S ALABAMA AVE",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293231502",
            "telephone_number": "864-461-2314",
            "fax_number": "864-461-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "SC",
            "license": "12901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF PHARMACY",
            "identifier": "12901",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesnee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.