Jenner Chang Bovell, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

43104 Issued in TN

Practice address

796 Ridgeway Ave
Signal Mountain, TN 37377-3067

Phone

(432) 886-3269

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenner Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1093310781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 DEER VALLEY DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432607",
            "telephone_number": "256-479-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 RIDGEWAY AVE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773067",
            "telephone_number": "432-886-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVELL",
        "first_name": "JENNER",
        "middle_name": "CHANG",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "43104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNER",
            "last_name": "CHANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Michael Bearden, D.C.
• Kristina Bearden, D.C.
• Angela Begres
• Sonia Sue Bible, FNP-BC
• Mary Jo Blanton, FNP
• Katherine Braswell, MS
• Kimberley Brown, M.D.
• Zachary Peter Brown
• Angel Marie Bruecker, DC
• Christopher Dean Bryant

• Pharmacist in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.