Active NPI
Jasmine Nurse, PHARM. D
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1720623481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066273
- Practice address
- 1538 Pitkin Ave
Brooklyn, NY 11212-4539 - Phone
- (718) 495-1122
- Fax
- (718) 495-0022
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 066273 | NY | Primary |
Addresses
Primary practice location
1538 Pitkin Ave
Brooklyn, NY 11212-4539
Mailing address
1538 Pitkin Ave
Brooklyn, NY 11212-4539
Phone (718) 495-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066273 | Other | NY | PHARMACIST |
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 |
|---|---|---|---|
| 066273 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Care Inc. | Current | Accepting new patients |
Locations
1538 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 495-1122
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1477910610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1720623481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112124539",
"telephone_number": "718-495-1122",
"fax_number": "718-495-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112124539",
"telephone_number": "718-495-1122",
"fax_number": "718-495-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURSE",
"first_name": "JASMINE",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "066273",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.