Jennifer D Rothenberger, RPH
Individual provider Active NPI Pharmacist · Temple, PA
NPI 1356970552 · NPPES record last updated Apr 8, 2020
Key facts
- NPI
- 1356970552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP043211L (PA)
- Practice address
- 5370 Allentown Pike
Temple, PA 19560-1200 - Phone
- (610) 939-0616
- Fax
- (610) 939-0614
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| RP043211L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP043211L | PA | Yes |
Addresses
Primary practice location
5370 Allentown Pike
Temple, PA 19560-1200
Mailing address
61 Hickory LN
Temple, PA 19560-9757
Phone (610) 413-3815
Other providers in Temple, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2020. 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.