Jennifer Lynn Clodfelter, PHARMD
Individual provider Active NPI Pharmacist · Brazil, IN
NPI 1518503523 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1518503523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26021807A (IN)
- Practice address
- 100 Forest Park PLZ
Brazil, IN 47834-2737 - Phone
- (812) 442-6700
- Fax
- (812) 442-6606
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021807A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021807A | IN | Yes |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | 26021807A | IN |
Addresses
Primary practice location
100 Forest Park PLZ
Brazil, IN 47834-2737
Mailing address
100 Forest Park PLZ
Brazil, IN 47834-2737
Phone (812) 442-6700
Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. 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.