Individual provider Active NPI

Jodi L Mann, PHARMD, BCPS, CGP

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Indianapolis, IN
National Provider Identifier
1942253042
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
26019885A Issued in IN
Practice address
12142 Pearl Bay RDG
Indianapolis, IN 46236-8980
Phone
(317) 833-0657
NPI assigned
May 18, 2006
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26019885A IN
Pharmacotherapy Pharmacist 1835P1200X 26019885A IN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26019885A IN Primary
Geriatric Pharmacist 1835G0303X 26019885A IN

Addresses

Primary practice location

12142 Pearl Bay RDG
Indianapolis, IN 46236-8980

Mailing address

12142 Pearl Bay RDG
Indianapolis, IN 46236-8980
Phone (317) 833-0657

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

LicenseStateTypeSpecialty
26019885AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Specialists, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1942253042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12142 PEARL BAY RDG",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368980",
            "telephone_number": "317-833-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 PEARL BAY RDG",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368980",
            "telephone_number": "317-833-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PHARMD, BCPS, CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019885A",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IN",
            "license": "26019885A",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26019885A",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IN",
            "license": "26019885A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.