Active NPI
Jessica McCorkle, MA, PHT
- Pharmacy Technician
- Baltimore, MD
National Provider Identifier
1881050722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T09748
- Practice address
- 3600 Boston St
Baltimore, MD 21224-5729 - Phone
- (187) 781-3559
- NPI assigned
- Jan 7, 2016
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T09748 | MD | Primary |
Addresses
Primary practice location
3600 Boston St
Baltimore, MD 21224-5729
Mailing address
3600 Boston St
Baltimore, MD 21224-5729
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T09748 | MD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1881050722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 BOSTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BOSTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245729",
"telephone_number": "187-781-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKLE",
"first_name": "JESSICA",
"credential": "MA, PHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "T09748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.