Jaelin Proffit, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

29905 Issued in TX

Practice address

1000 Main St
Kerrville, TX 78028-3565

Phone

(830) 896-7440

Fax

(830) 896-2221

NPI assigned

Nov 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medicine Stop Inc

  • Community/Retail Pharmacy
  • Kerrville, TX
  • NPI 1720009780
  NPD Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1962048587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283565",
            "telephone_number": "830-896-7440",
            "fax_number": "830-896-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283565",
            "telephone_number": "830-896-7440",
            "fax_number": "830-896-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFIT",
        "first_name": "JAELIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Diane Postert
• Precision Dermatology PA
• Mary Elizabeth Prentice, MD
• Paige Priour Blalock, DDS
• Donald J. Priour, M.D.
• Christian Rinze Pronk, CRNA
• Anna Marie Pruitt, LPC
• Lori Gayle Pruitt, FNP-C
• Patrick Pruitt, A/ACNP-BC
• Joe M Pruneda III, MD

• Pharmacist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.