=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487455093
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA JONES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2025
-----------------------------------------------------
Last Update Date | 03/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 REECEVILLE RD
-----------------------------------------------------
City | COATESVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19320-2162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-466-7166
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 152 MAGNOLIA DR
-----------------------------------------------------
City | CHESTER SPRINGS
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19425-3611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-252-3299
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP042950L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------