Active NPI
Kelsey Ann Jardine, PHARMD.
- Pharmacist
- Rochester, NY
National Provider Identifier
1831570423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059242
- Practice address
- 878 Long Pond Rd
Rochester, NY 14612-3049 - Phone
- (585) 723-3051
- Fax
- (585) 723-9096
- NPI assigned
- Jun 9, 2015
- Last updated
- Jun 9, 2015
- 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 | 059242 | NY | Primary |
Addresses
Primary practice location
878 Long Pond Rd
Rochester, NY 14612-3049
Mailing address
878 Long Pond Rd
Rochester, NY 14612-3049
Phone (585) 723-3051
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
| License | State | Type | Specialty |
|---|---|---|---|
| 059242 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1831570423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146123049",
"telephone_number": "585-723-3051",
"fax_number": "585-723-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146123049",
"telephone_number": "585-723-3051",
"fax_number": "585-723-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDINE",
"first_name": "KELSEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.