Active NPI
Jennifer Ware
- Pharmacist
- Ottumwa, IA
National Provider Identifier
1851854087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19730
- Practice address
- 1940 Venture Dr
Ottumwa, IA 52501-3766 - Phone
- (641) 683-1357
- NPI assigned
- Apr 14, 2019
- Sex
- Male
- 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 | 19730 | IA | Primary |
Addresses
Primary practice location
1940 Venture Dr
Ottumwa, IA 52501-3766
Mailing address
33 Schwartz Dr
Ottumwa, IA 52501-1133
Other names 1
- Jennifer Blackwell
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19730 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555200000000",
"number": "1851854087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 SCHWARTZ DR",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 VENTURE DR",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013766",
"telephone_number": "641-683-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-14",
"last_updated": "2019-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BLACKWELL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.