Individual provider Active NPI

Jessica Lynn Ashford, PHARMD

  • Pharmacist
  • Dallas, PA
National Provider Identifier
1992009195
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP444799 Issued in PA
Practice address
26 Dallas Village Shopping Ctr
Dallas, PA 18612-1231
Phone
(570) 674-5577
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP444799 PA Primary

Addresses

Primary practice location

26 Dallas Village Shopping Ctr
Dallas, PA 18612-1231

Mailing address

324 Lily Lake Road
Wapwallopen, PA 18660

Other identifiers 1

IdentifierTypeStateIssuer
RP444799OtherPAPENNSYLVANIA STATE 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

LicenseStateTypeSpecialty
RP444799PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Pharmacy LLC Current Accepting new patients
Crestwood Pharmacy LLC Current Accepting new patients
Karwaski Pharmacy Inc Past Accepting new patients

Organizations & group practices 3

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1992009195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LILY LAKE ROAD",
            "city": "WAPWALLOPEN",
            "state": "PA",
            "postal_code": "18660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DALLAS VILLAGE SHOPPING CTR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121231",
            "telephone_number": "570-674-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHFORD",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP444799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF PHARMACY",
            "identifier": "RP444799",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.