Individual provider Active NPI

Jennifer Hibbs, PHARMD, BCPS, BCGP

  • Pharmacist
  • Fort Polk, LA
National Provider Identifier
1841577616
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03227982 Issued in OH
Practice address
1585 3Rd St
Fort Polk, LA 71459-5102
Phone
(337) 531-8090
Fax
(337) 531-3158
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 014709 KY
Pharmacist 183500000X 03227982 OH Primary

Addresses

Primary practice location

1585 3Rd St
Fort Polk, LA 71459-5102

Mailing address

PO Box 289
Leesville, LA 71496-0289

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bayne-Jones BAYNE-JONES ARMY COMMUNITY HOSPITAL

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
03227982OHMDPharmacist
014709KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1841577616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714960289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-8090",
            "fax_number": "337-531-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "JENNIFER",
        "credential": "PHARMD, BCPS, BCGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "014709",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03227982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bayne-Jones",
            "affiliation": "Y",
            "affiliationName": "BAYNE-JONES ARMY COMMUNITY HOSPITAL",
            "address_1": "BLDG 1585 3RD ST",
            "address_2": "BAYNE JONES ARMY COMMUNITY HOSP",
            "city": "FT POLK",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Polk, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.