Jessica Lynn Jennings, PHARMD.
Individual provider Active NPI Pharmacist · Pleasanton, TX
NPI 1871966465 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1871966465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 55419 (TX)
- Practice address
- 2070 W Oaklawn Rd
Pleasanton, TX 78064-4607 - Phone
- (830) 569-3289
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55419 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55419 | TX | Yes |
Addresses
Primary practice location
2070 W Oaklawn Rd
Pleasanton, TX 78064-4607
Mailing address
680 E Basse Rd Apt 200
San Antonio, TX 78209-8333
Phone (830) 267-0232
Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.