Individual provider Active NPI

Jana Beth Jennifer Dorsey, RPH

  • Pharmacist
  • Shelbyville, IN
National Provider Identifier
1962087908
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26019219A Issued in IN
Practice address
1412 Miller Ave
Shelbyville, IN 46176-3135
Phone
(317) 421-2020
Fax
(317) 421-2022
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26019219A IN Primary

Addresses

Primary practice location

1412 Miller Ave
Shelbyville, IN 46176-3135

Mailing address

1412 Miller Ave
Shelbyville, IN 46176-3135
Phone (317) 421-2020

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

LicenseStateTypeSpecialty
26019219AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medworks Inc CurrentSince Mar 16, 2021 Accepting new patients
Medworks, Inc Current Accepting new patients

Locations

1412 Miller Ave
Shelbyville, IN 46176
Phone (317) 421-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1962087908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MILLER AVE",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461763135",
            "telephone_number": "317-421-2020",
            "fax_number": "317-421-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MILLER AVE",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461763135",
            "telephone_number": "317-421-2020",
            "fax_number": "317-421-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "JANA BETH",
        "middle_name": "JENNIFER",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019219A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.