Jeanne Louise Feikema, R.PH.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fremont, MI
NPI 1346484375 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1346484375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 5302411057 (MI)
- Practice address
- 30 E Main St
Fremont, MI 49412-1244 - Phone
- (231) 924-2120
- Fax
- (231) 924-6310
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411057 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Country Squire Discount Pharmacy, Inc | Past | Accepting new patients | |
| Country Squire Discount Pharmacy, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302411057 | MI | Yes |
Addresses
Primary practice location
30 E Main St
Fremont, MI 49412-1244
Mailing address
30 E Main St
Fremont, MI 49412-1244
Phone (231) 924-2120
Other providers in Fremont, MI
- Aaron Michael Evans
- Joshua Abrams Fair
- Anna Falconburg
- Family & Life Counseling
- Gerald Lee Fedelem
- Megan Marie Folkema
- Fountain View of Fremont
- Fountain View Retirement
- Fremont Healthcare LLC
- Fremont Orthopaedics PLLC
All providers in Fremont, MI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. 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.