Active NPI
Jeanne Ann Zeis, R.PH.
- Pharmacist
- Covington, KY
National Provider Identifier
1912497793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P010459
- Practice address
- 434 Scott St
Covington, KY 41011-2342 - Phone
- (859) 431-3304
- Fax
- (859) 431-3305
- NPI assigned
- May 16, 2018
- 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 | P010459 | KY | Primary |
Addresses
Primary practice location
434 Scott St
Covington, KY 41011-2342
Mailing address
434 Scott St
Covington, KY 41011-2342
Phone (859) 431-3304
Other practice location 1
3712 Winston Ave
Covington, KY 41015-1469
Phone (859) 261-0605
Other practice location 2
7220 Burlington Pike
Florence, KY 41042-1586
Phone (859) 748-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54032347 | Medicaid | KY | |
| 7100068600 | Medicaid | KY | |
| 54018452 | Medicaid | KY |
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 |
|---|---|---|---|
| P010459 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655510400000",
"number": "1912497793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 SCOTT ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410112342",
"telephone_number": "859-431-3304",
"fax_number": "859-431-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 SCOTT ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410112342",
"telephone_number": "859-431-3304",
"fax_number": "859-431-3305"
}
],
"practiceLocations": [
{
"address_1": "3712 Winston Ave",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "KY",
"postal_code": "410151469",
"country_code": "US",
"telephone_number": "859-261-0605",
"fax_number": "859-261-0827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7220 Burlington Pike",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410421586",
"country_code": "US",
"telephone_number": "859-748-2800",
"fax_number": "859-746-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEIS",
"first_name": "JEANNE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2022-06-18",
"certification_date": "2022-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "P010459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54032347",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100068600",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54018452",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.