Jennifer Bosgra, PHARMD D

Primary specialty

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

License

13426 Issued in AZ

Practice address

191 Hospital Dr
Chinle, AZ 86503

Phone

(928) 674-7042

NPI assigned

Jan 2, 2013

Last updated

Jan 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1508102096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6576 WHITE PINE DR",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295055",
            "telephone_number": "928-595-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HOSPITAL DR",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSGRA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARMD D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "13426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andra F. Battocchio, P.T.
• Nasser Victor Bazoun, D.O.
• Natasha Renee Bitsui
• Ja'Nelle Maxine Blocker, MD
• Ethan Reuvan Bornstein, M.D.
• Edna A. Braxton, MS, CCC-SLP
• Jane Louise Broughton, R.D.
• Filip Miroslav Bryan, RRT
• Sheree Burbank
• Erik M Cala, M.A., CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chinle, AZ
• Providers in Chinle, AZ by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.