Active NPI
Jennifer Lynn Josselyn, PHARMD.
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1982007555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121901
- Practice address
- 892 Arcade St
Saint Paul, MN 55106-3852 - Phone
- (651) 771-0556
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 121901 | MN | Primary |
Addresses
Primary practice location
892 Arcade St
Saint Paul, MN 55106-3852
Mailing address
730 Mercer St
Apt 306
Saint Paul, MN 55102-4260
Phone (713) 275-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121901 | Other | MN | MINNESOTA BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121901 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1982007555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 MERCER ST",
"address_2": "APT 306",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551024260",
"telephone_number": "713-275-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "892 ARCADE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551063852",
"telephone_number": "651-771-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSSELYN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF PHARMACY",
"identifier": "121901",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.