Active NPI
Nicole Jasperson
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1962871541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP450166
- Practice address
- 7910 E Washington St
Indianapolis, IN 46219-6803 - Phone
- (800) 777-7775
- NPI assigned
- Sep 24, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026333A | IN | |
| Pharmacist | 183500000X | RP450166 | PA | Primary |
Addresses
Primary practice location
7910 E Washington St
Indianapolis, IN 46219-6803
Mailing address
301 S Highland Ave
Apartment 704
Pittsburgh, PA 15206-5247
Phone (317) 964-9852
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26026333A | IN | MD | Pharmacist |
| RP450166 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962871541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S HIGHLAND AVE",
"address_2": "APARTMENT 704",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152065247",
"telephone_number": "317-964-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 E WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462196803",
"telephone_number": "800-777-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPERSON",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026333A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP450166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.