Individual provider Active NPI

Jackline Ngweh Yembu

  • Pharmacist
  • Reno, NV
National Provider Identifier
1891285599
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19794 Issued in NV
Practice address
1630 Robb Dr
Reno, NV 89523-3516
Phone
(775) 746-6400
Fax
(775) 746-6411
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19794 NV Primary

Addresses

Primary practice location

1630 Robb Dr
Reno, NV 89523-3516

Mailing address

14004 Mount Charleston St
Reno, NV 89506-1469
Phone (530) 217-9680

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

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1891285599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 MOUNT CHARLESTON ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061469",
            "telephone_number": "530-217-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ROBB DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233516",
            "telephone_number": "775-746-6400",
            "fax_number": "775-746-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMBU",
        "first_name": "JACKLINE",
        "middle_name": "NGWEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.