Jennifer Mitchell Kunkel, PHARMD, BCPS, BCCCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441408 Issued in PA

Practice address

45 Cheltenham Ave
Cheltenham, PA 19012-1412

Phone

(215) 782-1501

NPI assigned

Jul 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Pennsylvania CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17901

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1497033161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 KEELY CT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282979",
            "telephone_number": "610-509-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CHELTENHAM AVE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121412",
            "telephone_number": "215-782-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Broad St",
            "address_2": "Mailstop 451",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021121",
            "country_code": "US",
            "telephone_number": "215-762-7727",
            "fax_number": "215-762-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "JENNIFER",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, BCCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP 441408",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindred Home Care LLC
• Mark Kofman, MSPT
• Barbara Kotzin, M.A., M.ED.
• Kimberly Kreider
• Danielle Krevitz
• Eli R Lipsky, MFT
• Martha C Little, M.D.
• Livingwage Homecare
• Jana Barbara Mallis, LBS
• Mark a Shust OD

• Pharmacist in Cheltenham, PA
• Providers in Cheltenham, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.