Active NPI
Jeanette Marie Witte, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1720510035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S12092
- Practice address
- 3675 E Britannia Dr
Tucson, AZ 85706-5041 - Phone
- (520) 908-3105
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S12092 | AZ | Primary |
Addresses
Primary practice location
3675 E Britannia Dr
Tucson, AZ 85706-5041
Mailing address
2520 N Rising Star TRL
Tucson, AZ 85745-1060
Phone (520) 908-3105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217222 | Other | AZ | NABP MONITORING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S12092 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1720510035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 N RISING STAR TRL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451060",
"telephone_number": "520-908-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 E BRITANNIA DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857065041",
"telephone_number": "520-908-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTE",
"first_name": "JEANETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S12092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP MONITORING",
"identifier": "217222",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.