Individual provider Active NPI

Jane Spagnoletti Niemtschk

  • Pharmacist
  • Irving, TX
National Provider Identifier
1932753894
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33852 Issued in TX
Practice address
750 West John Carpenter Freeway
Mc500
Irving, TX 75039
Phone
(469) 524-4820
Fax
(469) 524-7163
NPI assigned
Jul 30, 2019
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33852 TX Primary

Addresses

Primary practice location

750 West John Carpenter Freeway
Mc500
Irving, TX 75039

Mailing address

416 Vista Trail Dr
Lewisville, TX 75067-8343
Phone (972) 315-9593

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

State licenses

LicenseStateTypeSpecialty
33852TXMDCommunity/Retail Pharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1932753894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 VISTA TRAIL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678343",
            "telephone_number": "972-315-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WEST JOHN CARPENTER FREEWAY",
            "address_2": "MC500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "469-524-4820",
            "fax_number": "469-524-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMTSCHK",
        "first_name": "JANE",
        "middle_name": "SPAGNOLETTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "33852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.