Active NPI
Jennifer Lynn Prymek, RPH
- Pharmacist
- Urbandale, IA
National Provider Identifier
1952571366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19085
- Practice address
- 11100 Aurora Ave BLDG 13
Urbandale, IA 50322-7903 - Phone
- (515) 327-5405
- Fax
- (515) 327-5422
- NPI assigned
- Mar 3, 2008
- Last updated
- Jul 28, 2008
- Sex
- Female
- 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 | 19085 | IA | Primary |
Addresses
Primary practice location
11100 Aurora Ave BLDG 13
Urbandale, IA 50322-7903
Mailing address
11100 Aurora Ave BLDG 13
Urbandale, IA 50322-7903
Phone (515) 327-5405
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19085 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Prescription Drug Corporation | 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": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1952571366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 AURORA AVE BLDG 13",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503227903",
"telephone_number": "515-327-5405",
"fax_number": "515-327-5422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 AURORA AVE BLDG 13",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503227903",
"telephone_number": "515-327-5405",
"fax_number": "515-327-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYMEK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.