Active NPI
Jean Pierre Mena, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1912765975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024125
- Practice address
- 11930 Standiford Plaza Dr
Louisville, KY 40229-5901 - Phone
- (502) 961-5840
- Fax
- (502) 961-5847
- NPI assigned
- Mar 13, 2024
- Sex
- Male
- 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 | 024125 | KY | Primary |
Addresses
Primary practice location
11930 Standiford Plaza Dr
Louisville, KY 40229-5901
Mailing address
11930 Standiford Plaza Dr
Louisville, KY 40229-5901
Phone (502) 961-5840
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024125 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1912765975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11930 STANDIFORD PLAZA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402295901",
"telephone_number": "502-961-5840",
"fax_number": "502-961-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 STANDIFORD PLAZA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402295901",
"telephone_number": "502-961-5840",
"fax_number": "502-961-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "JEAN PIERRE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "024125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.