Individual provider Active NPI

Jessica Virleen Simpson, PHARMD

  • Pharmacist
  • Spring Branch, TX
National Provider Identifier
1811680366
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51883 Issued in TX
Practice address
113 Stargrass Ste 100
Spring Branch, TX 78070-5165
Phone
(830) 214-2920
Fax
(830) 935-4532
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 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 51883 TX Primary

Addresses

Primary practice location

113 Stargrass Ste 100
Spring Branch, TX 78070-5165

Mailing address

1954 Sunderidge
San Antonio, TX 78260-2435
Phone (210) 373-3223

Other practice location 1

26108 Overlook Pkwy
San Antonio, TX 78260-6046
Phone (210) 819-4515

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
51883TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
3 Wild Ones LLC Pharmacist Past Accepting new patients
GLP3 Pharmacy PastSince Jun 4, 2023 Accepting new patients
North Shore Pharmacy LLC PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1811680366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 SUNDERIDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602435",
            "telephone_number": "210-373-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 STARGRASS STE 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705165",
            "telephone_number": "830-214-2920",
            "fax_number": "830-935-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26108 Overlook Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782606046",
            "country_code": "US",
            "telephone_number": "210-819-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JESSICA",
        "middle_name": "VIRLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.