Randy James Jennings

Primary specialty

PharmacistTaxonomy code 183500000X

License

26021033A Issued in IN

Practice address

923 Northcrest Business Center
6-D
Fort Wayne, IN 46805

Phone

(260) 484-8542

Fax

(260) 484-1094

NPI assigned

Oct 14, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1043595689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 DENALI CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459116",
            "telephone_number": "260-482-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 NORTHCREST BUSINESS CENTER",
            "address_2": "6-D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "260-484-8542",
            "fax_number": "260-484-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "RANDY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jenkins, PT, DPT
• Todd Michael Jenkins, LAT, ATC
• Amy Jennings
• Jennifer M Jennings
• Mackenzie Ann Jennings
• Samantha Dawn Jennings
• Denise Jensen, MSW, LCSW
• Mariah Kimberly Ann Jensen
• Jericho Partners, LLC (Home Instead 296)
• Tania Jesmine, M.D.

• Pharmacist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.