Active NPI
Tyreene A Jeter, PHARM.D
- Pharmacist
- Bronx, NY
National Provider Identifier
1881963973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056265
- Practice address
- 2939 3Rd Ave
Bronx, NY 10455-2527 - Phone
- (718) 993-3036
- NPI assigned
- Dec 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 056265 | NY | Primary |
| Pharmacist | 183500000X | 28RI03311700 | NJ |
Addresses
Primary practice location
2939 3Rd Ave
Bronx, NY 10455-2527
Mailing address
2939 3Rd Ave
Bronx, NY 10455-2527
Phone (718) 993-3036
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 |
|---|---|---|---|
| 056265 | NY | MD | Periodontist |
| 28RI03311700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- New York, NY
- NPI 1548914351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1881963973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2939 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104552527",
"telephone_number": "718-993-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104552527",
"telephone_number": "718-993-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "TYREENE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056265",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03311700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.