Active NPI
Karen Suzanne Jennings, RPH
- Pharmacist
- Belleville, MI
National Provider Identifier
1730719022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029428
- Practice address
- 10915 Belleville Rd
Belleville, MI 48111 - Phone
- (734) 697-4000
- Fax
- (734) 697-0070
- NPI assigned
- Jan 25, 2020
- 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 | 5302029428 | MI | Primary |
Addresses
Primary practice location
10915 Belleville Rd
Belleville, MI 48111
Mailing address
42929 Cardinal Way
Novi, MI 48375-3655
Phone (248) 890-8488
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Rx08042@cvshealth.com | Health Information Exchange (HIE) | Woodward Detroit CVS, L.L.C. |
| Other URL | Rx08042@cvshealth.com | Health Information Exchange (HIE) | Woodward Detroit CVS, L.L.C. |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302029428 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Current | Accepting new patients |
Locations
10915 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-4000
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.
-
- Pharmacy
- Van Buren TWP, MI
- NPI 1437261369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1730719022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42929 CARDINAL WAY",
"city": "NOVI",
"state": "MI",
"postal_code": "483753655",
"telephone_number": "248-890-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10915 BELLEVILLE RD",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "48111",
"telephone_number": "734-697-4000",
"fax_number": "734-697-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KAREN",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-25",
"last_updated": "2023-11-27",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029428",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rx08042@cvshealth.com",
"affiliation": "Y",
"endpointDescription": "Store email",
"affiliationName": "Woodward Detroit CVS, L.L.C.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10915 Belleville Rd",
"city": "Van Buren Twp",
"state": "MI",
"country_code": "US",
"postal_code": "481111386",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rx08042@cvshealth.com",
"affiliation": "Y",
"endpointDescription": "Store email",
"affiliationName": "Woodward Detroit CVS, L.L.C.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10915 Belleville Rd",
"city": "Van Buren Twp",
"state": "MI",
"country_code": "US",
"postal_code": "481111386",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.