Jane Tennis, RPH, MBA

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0283146 Issued in MO

Practice address

543 Boulder River Dr
O Fallon, MO 63368-9666

Phone

(314) 651-4716

NPI assigned

Sep 11, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Business Administration, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1104176726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-441-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 BOULDER RIVER DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633689666",
            "telephone_number": "314-651-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIS",
        "first_name": "JANE",
        "credential": "RPH, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "0283146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha L. Taylor, MOT, OTR L
• Jocelyn Deslauriers Teagarden, PHARM.D
• Stephanie L Tegtmeier, OTR L
• Matthew David Telmer, FNP
• Colleen Temaj Perez
• Heather Marie Terranova
• Brie Banull Terrell, PA
• Terry M. Trezek
• Jennifer Testerman, NP
• Melissa Tevlin, PHARMD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.