Jennifer Meuwissen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051296987 Issued in IL

Practice address

659 Knox Square Dr
Galesburg, IL 61401-8605

Phone

(309) 344-2254

Fax

(309) 344-2703

NPI assigned

Oct 27, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1699318220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 KNOX SQUARE DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614018605",
            "telephone_number": "309-344-2254",
            "fax_number": "309-344-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 KNOX SQUARE DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614018605",
            "telephone_number": "309-344-2254",
            "fax_number": "309-344-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUWISSEN",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051296987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy LS Mefford, CNM MS
• Harsha Shrikant Mehta, MD
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• Pharmacist in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.