Active NPI
Jessica Aultice
- Pharmacist
- Newport News, VA
National Provider Identifier
1760093652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202215992
- Practice address
- 9976 Jefferson Ave
Newport News, VA 23605-1057 - Phone
- (757) 599-9626
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 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 | 0202215992 | VA | Primary |
Addresses
Primary practice location
9976 Jefferson Ave
Newport News, VA 23605-1057
Mailing address
9976 Jefferson Ave
Newport News, VA 23605-1057
Phone (757) 599-9626
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202215992 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1760093652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9976 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236051057",
"telephone_number": "757-599-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9976 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236051057",
"telephone_number": "757-599-9626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULTICE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.