Individual provider Active NPI

Jenna Morcos, PHARMD

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1750075669
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15654 Issued in NC
Practice address
1300 East Blvd
Charlotte, NC 28203-5802
Phone
(704) 910-4288
NPI assigned
Jun 5, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 15654 NC Primary

Addresses

Primary practice location

1300 East Blvd
Charlotte, NC 28203-5802

Mailing address

10310 Lady Grace LN
Charlotte, NC 28270-1285
Phone (704) 904-0437

Other practice location 1

2910-1 E Franklin Blvd
Gastonia, NC 28056
Phone (704) 648-0475

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
15654NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Pharmacy, Inc. Past Accepting new patients
Centerwell Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1750075669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 LADY GRACE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701285",
            "telephone_number": "704-904-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035802",
            "telephone_number": "704-910-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910-1 E Franklin Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28056",
            "country_code": "US",
            "telephone_number": "704-648-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORCOS",
        "first_name": "JENNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.