Active NPI
Nicholas Edwin Jennings, PHARMD
- Pharmacist
- Watkins Glen, NY
National Provider Identifier
1922320209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054083
- Practice address
- 506 S Franklin St
Watkins Glen, NY 14891-1524 - Phone
- (607) 535-7350
- Fax
- (607) 535-2663
- NPI assigned
- Feb 27, 2010
- Sex
- Male
- 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 | 054083 | NY | Primary |
Addresses
Primary practice location
506 S Franklin St
Watkins Glen, NY 14891-1524
Mailing address
506 S Franklin St
Watkins Glen, NY 14891-1524
Phone (607) 535-7350
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany, L.L.C. | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Watkins Glen, NY
- NPI 1942303789
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267228800000",
"number": "1922320209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 S FRANKLIN ST",
"city": "WATKINS GLEN",
"state": "NY",
"postal_code": "148911524",
"telephone_number": "607-535-7350",
"fax_number": "607-535-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 S FRANKLIN ST",
"city": "WATKINS GLEN",
"state": "NY",
"postal_code": "148911524",
"telephone_number": "607-535-7350",
"fax_number": "607-535-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "NICHOLAS",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-27",
"last_updated": "2010-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkins Glen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.