Jennifer Bosgra, PHARMD D
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Chinle, AZ
NPI 1508102096 · NPPES record last updated Jan 2, 2013
Key facts
- NPI
- 1508102096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 13426 (AZ)
- Practice address
- 191 Hospital Dr
Chinle, AZ 86503 - Phone
- (928) 674-7042
- NPI assigned
- Jan 2, 2013
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13426 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 13426 | AZ | Yes |
Addresses
Primary practice location
191 Hospital Dr
Chinle, AZ 86503
Mailing address
6576 White Pine Dr
Lakeside, AZ 85929-5055
Phone (928) 595-3013
Other providers in Chinle, AZ
- Andra F. Battocchio
- Nasser Victor Bazoun
- Natasha Renee Bitsui
- Ja'Nelle Maxine Blocker
- Ethan Reuvan Bornstein
- Edna A. Braxton
- Jane Louise Broughton
- Filip Miroslav Bryan
- Sheree Burbank
- Erik M Cala
All providers in Chinle, AZ · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2013. 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.