Jessica Suzanne Ponder

Primary specialty

PharmacistTaxonomy code 183500000X

License

40105 Issued in TX

Practice address

1807 W Frank Ave
Lufkin, TX 75904-5108

Phone

(936) 634-8394

Fax

(936) 634-4068

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brookshire Brothers Inc

  • Community/Retail Pharmacy
  • Jarrell, TX
  • NPI 1396615183
  NPD (past)
• Brookshire Brothers Inc

  • Community/Retail Pharmacy
  • Lufkin, TX
  • NPI 1588763809
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1801401690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045108",
            "telephone_number": "936-634-8394",
            "fax_number": "936-634-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045108",
            "telephone_number": "936-634-8394",
            "fax_number": "936-634-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "JESSICA",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Jeannie Ploof, PTA
• Mark Anthony Plowman, LVN
• Wendy Jo Plum, CRNA
• Point of Care Collaboratives,Inc PPC
• Linsie Elise Pollino, SLP-INTERN
• Charles Bryan Pool, DC
• Robin Pool
• Brittanie Porter, CRNA
• Melanie Potter, PA
• Dwaina Lynn Powell, LCDC

• Pharmacist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.