Individual provider Active NPI

Jessica Elise Wisniewski, PHARMD

  • Pharmacist
  • Palm Springs, CA
National Provider Identifier
1740957471
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
84804 Issued in CA
Practice address
255 N El Cielo Rd Ste C326
Palm Springs, CA 92262-6992
Phone
(760) 969-6560
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 84804 CA Primary

Addresses

Primary practice location

255 N El Cielo Rd Ste C326
Palm Springs, CA 92262-6992

Mailing address

449 E Arenas Rd Apt 302
Palm Springs, CA 92262-6655
Phone (951) 837-1739

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.wisniewski@mydohc.com Direct

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

Interoperability endpoints

  • Direct secure messaging: jessica.wisniewski.p2@direct.hvvmg.nextgenshare.com
  • Direct secure messaging: jessica.wisniewski.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: jessica.wisniewski.p2@direct.mydohc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1740957471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E ARENAS RD APT 302",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626655",
            "telephone_number": "951-837-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N EL CIELO RD STE C326",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626992",
            "telephone_number": "760-969-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "JESSICA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.wisniewski@mydohc.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "255 N El Cielo Rd Ste C326",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922626992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.