Individual provider Active NPI

Jessica Ruth Sweeney, PHARM TECH

  • Pharmacy Technician
  • Santa Fe, NM
National Provider Identifier
1740513506
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
290101040760362 Issued in NM
Practice address
2001 Chamisa St
Santa Fe, NM 87505-3441
Phone
(505) 982-2129
Fax
(505) 992-1149
NPI assigned
Sep 11, 2009
Last updated
Sep 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 290101040760362 NM Primary

Addresses

Primary practice location

2001 Chamisa St
Santa Fe, NM 87505-3441

Mailing address

2001 Chamisa St
Santa Fe, NM 87505-3441
Phone (505) 982-2129

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

LicenseStateTypeSpecialty
290101040760362NMMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1740513506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CHAMISA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053441",
            "telephone_number": "505-982-2129",
            "fax_number": "505-992-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CHAMISA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053441",
            "telephone_number": "505-982-2129",
            "fax_number": "505-992-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PHARM TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NM",
            "license": "290101040760362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.