JENNIFER BOEHM (NPI# 1245622984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245622984 |
| Entity Type | Individual |
| Full Name | JENNIFER BOEHM |
| Credential | PHARMD |
| Practice Address |
2845 W Cleveland Rd South Bend IN 46628-6188 |
| Mailing Address |
53302 Hickory Rd South Bend IN 46635-1440 |
| Practice Telephone | 5742771538 |
| Mailing Telephone | 2192424364 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26025113A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861758039 | Jennifer Boehm | Occupational Therapy Assistant | 4301 Clime Rd N, Columbus, OH 43228-3403 | 2012-04-02 |
| 1689713224 | Jennifer Beth Shell Boehm | Counselor | 3544 E 17th St, Ammon, ID 83406-6913 | 2007-02-06 |
| 1033133004 | Jennifer Boehm | Dentist | 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508-5904 | 2006-07-26 |
| Street Address |
2845 W CLEVELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-6188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235262395 | Gervasis Manuel | Pharmacist | 2845 W Cleveland Rd, South Bend, IN 46628-6188 | 2007-03-14 |
| 1669864864 | Azzedine Benchaar | Pharmacist | 2845 W Cleveland Rd, South Bend, IN 46628-6188 | 2015-02-24 |
| 1164770160 | John Peary | Pharmacist | 2845 W Cleveland Rd, South Bend, IN 46628-6188 | 2012-08-22 |
| 1225312978 | Matthew Shambry | Pharmacist | 2845 W Cleveland Rd, South Bend, IN 46628-6188 | 2011-09-29 |
| 1922388412 | Jeffrey James | Pharmacist | 2845 W Cleveland Rd, South Bend, IN 46628-6188 | 2011-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| Find all providers in zip 46628 | ||||
| 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 |
|---|---|---|---|---|
| 1255945705 | Richard B Pearson | Pharmacist | 2913 S Michigan St, South Bend, IN 46614-1033 | 2020-09-02 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1053899617 | Korilyn Hauersperger | Pharmacist | 22370 Ice Trl, South Bend, IN 46614-4401 | 2018-08-05 |
| 1386159622 | Dusti Ann Yost | Pharmacist | 707 N Michigan St Ste 114, South Bend, IN 46601-1068 | 2017-12-08 |
| 1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
| 1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
| 1285989079 | Craig Merrick | Pharmacist | 901 E Donald St, South Bend, IN 46613-2920 | 2012-07-17 |
| 1396021218 | Jada Rashon Bush | Pharmacist | 201 S William St Ste 202, South Bend, IN 46601-2515 | 2011-10-24 |
| 1609151596 | Monica Lynn Parkhurst | Pharmacist | 54590 Ironwood Rd, South Bend, IN 46635-1617 | 2011-10-11 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on JENNIFER BOEHM.
| 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.