Jan E Fehrenbacher
Individual provider Active NPI Pharmacist · Lincoln, IL
NPI 1104100114 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1104100114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-041193 (IL)
- Practice address
- 603 Woodlawn
Lincoln, IL 62656 - Phone
- (217) 732-1825
- Fax
- (217) 732-7796
- NPI assigned
- Oct 10, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-041193 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-041193 | IL | Yes |
Addresses
Primary practice location
603 Woodlawn
Lincoln, IL 62656
Mailing address
603 Woodlawn
Lincoln, IL 62656
Phone (217) 732-1825
Other providers in Lincoln, IL
- Cynthia Lynn Edwards
- Dianne Maria Endress
- Family Medical Center of Lincoln, LLC
- Family Medical Center of Lincoln, LLC
- James D Farrell
- Find the Sun Counseling Services PLLC
- First Choice Healthcare and Physical Medicine SC
- Foot and Ankle Associates of Central Illinois LLC
- Nancy Ann Frampton
- Daniel P. Freesmeier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. 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.