Individual provider Active NPI

Jenna E Micallef, PHARMD

  • Pharmacist
  • Warminster, PA
National Provider Identifier
1962980680
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452391 Issued in PA
Practice address
599 York Rd
Warminster, PA 18974-4518
Phone
(215) 674-0122
Fax
(215) 674-5430
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452391 PA Primary

Addresses

Primary practice location

599 York Rd
Warminster, PA 18974-4518

Mailing address

599 York Rd
Warminster, PA 18974-4518
Phone (215) 674-0122

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP452391PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1962980680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744518",
            "telephone_number": "215-674-0122",
            "fax_number": "215-674-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744518",
            "telephone_number": "215-674-0122",
            "fax_number": "215-674-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICALLEF",
        "first_name": "JENNA",
        "middle_name": "E",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.