Jennifer Anderson-Fung, PHARM.D.
Individual provider Active NPI Pharmacist · Fairhope, AL
NPI 1043035868 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1043035868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14221 (AL)
- Practice address
- 407 Grand Ave
Fairhope, AL 36532-2728 - Phone
- (251) 421-2889
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14221 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14221 | AL | Yes |
Addresses
Primary practice location
407 Grand Ave
Fairhope, AL 36532-2728
Mailing address
407 Grand Ave
Fairhope, AL 36532-2728
Phone (251) 421-2889
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.