Active NPI
Jessica Anne Growette, RPH
- Pharmacist
- Moorestown, NJ
National Provider Identifier
1902154990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115628
- Practice address
- 228 Strawbridge Dr
Moorestown, NJ 08057-4600 - Phone
- (856) 840-4838
- NPI assigned
- Aug 22, 2012
- Sex
- Female
- 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 | 115628 | MN | Primary |
Addresses
Primary practice location
228 Strawbridge Dr
Moorestown, NJ 08057-4600
Mailing address
10501 Florida Ave S
Bloomington, MN 55438-2553
Phone (952) 854-1190
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115628 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geritom Med Inc | 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.
-
- Long Term Care Pharmacy
- Bloomington, MN
- NPI 1285621193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1902154990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 FLORIDA AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554382553",
"telephone_number": "952-854-1190",
"fax_number": "952-854-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 STRAWBRIDGE DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574600",
"telephone_number": "856-840-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROWETTE",
"first_name": "JESSICA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-22",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.