Individual provider Active NPI

Jennifer Mowery

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1699375147
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
022235 Issued in LA
Practice address
2799 W Thomas St
Hammond, LA 70401-2838
Phone
(985) 542-5582
Fax
(985) 542-5584
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 022235 LA Primary

Addresses

Primary practice location

2799 W Thomas St
Hammond, LA 70401-2838

Mailing address

135 S Verona Dr
Covington, LA 70433-0879
Phone (703) 798-0868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j0m02ku.s00489@us.wal-mart.com

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
022235LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1699375147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S VERONA DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704330879",
            "telephone_number": "703-798-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012838",
            "telephone_number": "985-542-5582",
            "fax_number": "985-542-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "022235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j0m02ku.s00489@us.wal-mart.com",
            "affiliation": "N",
            "address_1": "2799 W Thomas St",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704012838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.