Active NPI
Jennifer Lynn Dean, RPH
- Pharmacist
- Evans Mills, NY
National Provider Identifier
1831362631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046939
- Practice address
- 25737 US Route 11
Evans Mills, NY 13637-3221 - Phone
- (315) 629-2402
- NPI assigned
- Apr 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 046939 | NY | Primary |
Addresses
Primary practice location
25737 US Route 11
Evans Mills, NY 13637-3221
Mailing address
25682 Hinds Rd
Watertown, NY 13601-5150
Phone (315) 786-2862
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046939 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1831362631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25682 HINDS RD",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015150",
"telephone_number": "315-786-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25737 US ROUTE 11",
"city": "EVANS MILLS",
"state": "NY",
"postal_code": "136373221",
"telephone_number": "315-629-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-12",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans Mills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.