JENNIFER LEILANI KIPP (NPI# 1164022307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164022307 |
| Entity Type | Individual |
| Full Name | JENNIFER LEILANI KIPP |
| Credential | RPH |
| Practice Address |
100 N Londonderry Sq Palmyra PA 17078-3904 |
| Practice Telephone | 7178387761 |
| Practice Fax Number | 7178389081 |
| Mailing Telephone | 7178387761 |
| Mailing Fax Number | 7178389081 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP044195L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588968382 | Jennifer Kipp | Social Worker | 222 E Indiana Ave, Spokane, WA 99207-2318 | 2011-01-07 |
| 1124077813 | Jennifer P Kipp | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2006-05-09 |
| Street Address |
100 N LONDONDERRY SQ |
| City | PALMYRA |
| State | PA |
| Zip Code | 17078-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851318083 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2006-07-16 |
| 1952901746 | Jessica Eisenhart | Pharmacist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2020-10-29 |
| 1922608850 | Theresa Anne Gerst | Pharmacist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2020-10-29 |
| 1346677705 | Steve Josef Markowitz | Pharmacist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2013-10-01 |
| 1659604478 | Timothy R. Corl Od, PC | Optometrist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2009-09-11 |
| 1700095932 | Esther Mele Wolford | Optometrist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2007-05-22 |
| 1053493528 | Wal-mart Stores East, Lp | Technician/Technologist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1174857643 | Jason John Castro | Occupational Therapist | 1273 South Forge Road, Palmyra, PA 17078 | 2009-09-30 |
| 1962694174 | Timothy Ryan Corl | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2007-08-11 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1548369028 | Ck-kc Ltc, Inc | Pharmacy | 1200 Grubb Street, Palmyra, PA 17078 | 2006-09-21 |
| 1669846507 | Kelly Christine Morris | Occupational Therapist | 2880 Horseshoe Pike, Palmyra, PA 17078 | 2015-11-16 |
| 1003287558 | Corl Eyecare, LLC | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2015-10-09 |
| 1972727238 | Philhaven Residential | Psychiatric Residential Treatment Facility | 231 E Main St, Palmyra, PA 17078 | 2007-04-11 |
| Find all providers in zip 17078 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881976777 | Terry D Schumann | Pharmacist | 927 Cinnaminson Ave, Palmyra, NJ 08065-1802 | 2011-09-15 |
| 1750574406 | Rebekah K Guthrie | Pharmacist | 46 Smokewood Dr, Palmyra, VA 22963-2828 | 2007-08-24 |
| 1861692048 | Francis John Herrmann | Pharmacist | 254 Royal Rd, Palmyra, PA 17078-9765 | 2007-07-24 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1952901746 | Jessica Eisenhart | Pharmacist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2020-10-29 |
| 1922608850 | Theresa Anne Gerst | Pharmacist | 100 N Londonderry Sq, Palmyra, PA 17078-3904 | 2020-10-29 |
| 1033672209 | Seth Michael Habicht | Pharmacist | 980 E Main St, Palmyra, PA 17078-1914 | 2019-04-12 |
| 1487140760 | Ryan C Frost | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-10 |
| 1427544014 | Lance Carter Richmond Jr. | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-06 |
| 1295221893 | Thomas Manley Gekeler | Pharmacist | 1573 Main St, Palmyra, ME 04965-3236 | 2018-07-06 |
| Find all providers in PALMYRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.