Jennifer Prussman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

6031 Issued in SD

Practice address

1440 N Campus Dr
Brookings, SD 57007-2480

Phone

(605) 688-5410

NPI assigned

Sep 21, 2023

Last updated

Oct 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Andree Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1952180747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 KEYSTONE CIR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064662",
            "telephone_number": "507-412-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N CAMPUS DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570072480",
            "telephone_number": "605-688-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062480",
            "country_code": "US",
            "telephone_number": "605-696-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSSMAN",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ANDREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Brookings, SD
• Providers in Brookings, SD by specialty
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; 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.