Individual provider Active NPI

Jenel Clement, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Burlington, VT
National Provider Identifier
1326656430
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH238846 Issued in MA
Practice address
128 Lakeside Ave Ste 260
Burlington, VT 05401-5911
Phone
(802) 657-7000
Fax
(802) 296-5109
NPI assigned
Jul 15, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH238846 MA Primary

Addresses

Primary practice location

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911

Mailing address

163 Veterans Drive
White River Junction, VT 05009-0001

Other practice location 1

163 Veterans Drive
White River Junction, VT 05009-0001
Phone (802) 295-9363

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jenel.clement@VA.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH238846MAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Hospital Corporation PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1326656430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VETERANS DRIVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 260",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015911",
            "telephone_number": "802-657-7000",
            "fax_number": "802-296-5109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Veterans Drive",
            "address_purpose": "LOCATION",
            "city": "White River Junction",
            "state": "VT",
            "postal_code": "050090001",
            "country_code": "US",
            "telephone_number": "802-295-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "JENEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "PH238846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jenel.clement@VA.gov",
            "affiliation": "N",
            "address_1": "163 Veterans Drive",
            "city": "White River Junction",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050090001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.