Active NPI
Jenana Halilovic, PHARM.D., BCPS
- Pharmacotherapy Pharmacist
- Sacramento, CA
National Provider Identifier
1942536479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 60577
- Practice address
- 2505 I St
#B
Sacramento, CA 95816-4259 - Phone
- (401) 829-2825
- NPI assigned
- Oct 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 60577 | CA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 60577 | CA | Primary |
Addresses
Primary practice location
2505 I St
#B
Sacramento, CA 95816-4259
Mailing address
2505 I St
#B
Sacramento, CA 95816-4259
Phone (401) 829-2825
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 |
|---|---|---|---|
| 60577 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255824000000",
"number": "1942536479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 I ST",
"address_2": "#B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164259",
"telephone_number": "401-829-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 I ST",
"address_2": "#B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164259",
"telephone_number": "401-829-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALILOVIC",
"first_name": "JENANA",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2009-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "60577",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "60577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.