Active NPI
Jayne L King, RPH
- Pharmacist
- Lafayette, IN
National Provider Identifier
1902168453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26015535A
- Practice address
- 3530 State Road 38 E
Lafayette, IN 47905-5121 - Phone
- (765) 448-6592
- Fax
- (765) 448-6168
- NPI assigned
- Jun 11, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26015535A | IN | Primary |
Addresses
Primary practice location
3530 State Road 38 E
Lafayette, IN 47905-5121
Mailing address
815 S 11TH St
Lafayette, IN 47905-1409
Phone (765) 742-3462
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 |
|---|---|---|---|
| 26015535A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1902168453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S 11TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479051409",
"telephone_number": "765-742-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 STATE ROAD 38 E",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055121",
"telephone_number": "765-448-6592",
"fax_number": "765-448-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JAYNE",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015535A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.