Individual provider Active NPI

Karen Suzanne Jennings, RPH

  • Pharmacist
  • Belleville, MI
National Provider Identifier
1730719022
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029428 Issued in MI
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

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
5302029428MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodward Detroit CVS, L.L.C. CurrentSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.