Individual provider Active NPI

Jean Vincent Perrot, PHARM. D

  • Pharmacist
  • Matamoras, PA
National Provider Identifier
1679759435
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP439737 Issued in PA
Practice address
722 RT 6 and 209
722 RT 6 and 209
Matamoras, PA 10963-0000
Phone
(570) 491-5019
Fax
(570) 491-5437
NPI assigned
Jan 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439737 PA Primary

Addresses

Primary practice location

722 RT 6 and 209
722 RT 6 and 209
Matamoras, PA 10963-0000

Mailing address

722 RT 6 and 209
722 RT 6 and 209
Matamoras, PA 10963-0000
Phone (570) 491-5019

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

LicenseStateTypeSpecialty
RP439737PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1679759435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 RT 6 AND 209",
            "address_2": "722 RT 6 AND 209",
            "city": "MATAMORAS",
            "state": "PA",
            "postal_code": "109630000",
            "telephone_number": "570-491-5019",
            "fax_number": "570-491-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 RT 6 AND 209",
            "address_2": "722 RT 6 AND 209",
            "city": "MATAMORAS",
            "state": "PA",
            "postal_code": "109630000",
            "telephone_number": "570-491-5019",
            "fax_number": "570-491-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROT",
        "first_name": "JEAN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matamoras, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.