Active NPI
Loida Jen Hernandez
- Pharmacy Technician
- Ypsilanti, MI
National Provider Identifier
1790308633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303030002
- Practice address
- 2170 Washtenaw Rd
Ypsilanti, MI 48197-1744 - Phone
- (734) 485-3899
- NPI assigned
- May 27, 2020
- Last updated
- May 27, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303030002 | MI | Primary |
Addresses
Primary practice location
2170 Washtenaw Rd
Ypsilanti, MI 48197-1744
Mailing address
2174 Lakeview Dr
Apr 432
Ypsilanti, MI 48198
Phone (734) 678-8811
Other practice location 1
2174 Lakeview Dr Apt 432
Ypsilanti, MI 48198-6773
Phone (734) 678-8811
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 |
|---|---|---|---|
| 5303030002 | MI | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1790308633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2174 LAKEVIEW DR",
"address_2": "APR 432",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48198",
"telephone_number": "734-678-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 WASHTENAW RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971744",
"telephone_number": "734-485-3899"
}
],
"practiceLocations": [
{
"address_1": "2174 Lakeview Dr Apt 432",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481986773",
"country_code": "US",
"telephone_number": "734-678-8811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "LOIDA JEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303030002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.