Renee Marie Jorgensen, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

0501-0110-8473-164 Issued in MI

Practice address

8744 Ferry St
Montague, MI 49437-1391

Phone

(231) 893-8255

NPI assigned

Sep 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hometown Pharmacy Inc

  dba HomeTown Pharmacy #67 - Suttons Bay

  • Community/Retail Pharmacy
  • Suttons Bay, MI
  • NPI 1811904345
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699871285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8744 FERRY ST",
            "city": "MONTAGUE",
            "state": "MI",
            "postal_code": "494371391",
            "telephone_number": "231-893-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8744 FERRY ST",
            "city": "MONTAGUE",
            "state": "MI",
            "postal_code": "494371391",
            "telephone_number": "231-893-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "0501-0110-8473-164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian M Hommel, MA, LLP
• James M Husiak, DDS
• Jennifer Iannuccilli
• Integrated Health Professionals, PC
• Jillian Hommel, PLLC
• Joseph Ferguson
• Tania Judd
• Kimberly S Barrett DDS PLLC
• Gina Lohman
• Richard Lohman

• Pharmacy Technician in Montague, MI
• Providers in Montague, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.