Active NPI
Jennifer Elizabeth Clayton, PHARMD, BCGP
- Geriatric Pharmacist
- Strawberry Point, IA
National Provider Identifier
1720552672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 20753
- Practice address
- 104 W Mission St
Strawberry Point, IA 52076-4400 - Phone
- (563) 933-4762
- Fax
- (563) 933-9909
- NPI assigned
- Jan 14, 2019
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 20753 | IA | Primary |
Addresses
Primary practice location
104 W Mission St
Strawberry Point, IA 52076-4400
Mailing address
18889 161St Ave
Manchester, IA 52057-8898
Phone (563) 920-1135
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 |
|---|---|---|---|
| 20753 | IA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1720552672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18889 161ST AVE",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520578898",
"telephone_number": "563-920-1135",
"fax_number": "563-927-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W MISSION ST",
"city": "STRAWBERRY POINT",
"state": "IA",
"postal_code": "520764400",
"telephone_number": "563-933-4762",
"fax_number": "563-933-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD, BCGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IA",
"license": "20753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Strawberry Point, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.