Individual provider Active NPI

Jeanne Ann Zeis, R.PH.

  • Pharmacist
  • Covington, KY
National Provider Identifier
1912497793
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P010459 Issued in KY
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

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54032347MedicaidKY
7100068600MedicaidKY
54018452MedicaidKY

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

LicenseStateTypeSpecialty
P010459KYMDPharmacist

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.

Verify at the official NPI Registry.