Active NPI
Paul Alan Jensen, R.PH.
- Pharmacist
- Williamsburg, MI
National Provider Identifier
1972996296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024257
- Practice address
- 6455 US Highway 31 N
Williamsburg, MI 49690-9306 - Phone
- (231) 938-1181
- NPI assigned
- Mar 11, 2015
- Sex
- Male
- 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 | 5302024257 | MI | Primary |
Addresses
Primary practice location
6455 US Highway 31 N
Williamsburg, MI 49690-9306
Mailing address
6971 9 Mile Rd NE
Rockford, MI 49341-9633
Phone (616) 690-3318
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 |
|---|---|---|---|
| 5302024257 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1972996296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6971 9 MILE RD NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419633",
"telephone_number": "616-690-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 US HIGHWAY 31 N",
"city": "WILLIAMSBURG",
"state": "MI",
"postal_code": "496909306",
"telephone_number": "231-938-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "PAUL",
"middle_name": "ALAN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, MI
- Emily Rosann Hedley, PA-C
- Paul T Heinzmann, P.T., M.B.A.
- Shawn Michael Husband, RPH
- In Motion Center for Chiropractic Care & Exercise Therapy. PC
- Independent Medical Evaluations, PC
- Angela McAlpine Keas, D.C.
- Lindsay Kate King, LMSW
- Kenneth Allen Kleyn, MD
- Kara S Koeplin, OTR
- Benjamin Bradley Lacross, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.