DR. JENNIFER LYNN CLODFELTER (NPI# 1518503523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518503523 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN CLODFELTER |
| Credential | PHARMD |
| Practice Address |
100 Forest Park Plz Brazil IN 47834-2737 |
| Practice Telephone | 8124426700 |
| Practice Fax Number | 8124426606 |
| Mailing Telephone | 8124426700 |
| Mailing Fax Number | 8124426606 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26021807A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642905 | Jennifer Elaine Clodfelter | Pharmacist | 1201 1st Avenue East, Newton, IA 50208 | 2020-06-08 |
| Street Address |
100 FOREST PARK PLZ |
| City | BRAZIL |
| State | IN |
| Zip Code | 47834-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912070434 | Kroger Limited Partnership I | Pharmacy | 100 Forest Park Plz, Brazil, IN 47834-2737 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
| 1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
| 1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
| 1770778102 | Fcp, Inc. | Clinic/Center | 11295 Ncr 300w, Brazil, IN 47834 | 2007-09-10 |
| 1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
| 1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
| 1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
| 1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
| 1275635534 | Nilah Nicole Bonham | Optometrist | 325 W National Avenue, Brazil, IN 47834 | 2006-09-05 |
| 1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
| Find all providers in zip 47834 | ||||
| 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 |
|---|---|---|---|---|
| 1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
| 1558412098 | George Frederick Maurer | Pharmacist | 555 E Us Highway 40, Brazil, IN 47834-7729 | 2007-01-12 |
| 1417019811 | Lynn D. Hostetler | Pharmacist | 22 W National Ave, Brazil, IN 47834-2537 | 2006-12-14 |
| 1962003012 | Nicole Hennecke | Pharmacist | 2150 E National Ave, Brazil, IN 47834-2831 | 2020-11-05 |
| 1386244754 | Marcelyn Jay Hagan | Pharmacist | 2150 E National Ave, Brazil, IN 47834-2831 | 2020-10-27 |
| 1902406382 | Mallory Anne Pearson | Pharmacist | 2150 E National Ave, Brazil, IN 47834-2831 | 2020-10-27 |
| 1003461989 | Elizabeth Gilbert | Pharmacist | 307 E National Ave, Brazil, IN 47834-2629 | 2019-08-07 |
| 1588216279 | Anthony M Elmes | Pharmacist | 307 E National Ave, Brazil, IN 47834-2629 | 2019-07-12 |
| 1235412248 | Janel Love Roark | Pharmacist | 501 E National Ave, Walgreens, Brazil, IN 47834-2633 | 2011-09-26 |
| 1457633232 | Betsy Ummel | Pharmacist | 501 E National Ave, Brazil, IN 47834-2633 | 2011-09-16 |
| Find all providers in BRAZIL | ||||
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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.