Trevor Jennewine, RPH

Primary specialty

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

License

0014533 Issued in OR

Practice address

1990 14TH Ave SE
Albany, OR 97322-8504

Phone

(541) 812-2386

NPI assigned

Jan 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Safeway Inc

  • Community/Retail Pharmacy
  • Albany, OR
  • NPI 1023047065
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1538559331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 NW GARRYANNA DR",
            "address_2": "2",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303686",
            "telephone_number": "937-654-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228504",
            "telephone_number": "541-812-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNEWINE",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014533",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0014533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PHARMACY",
            "identifier": "RPH-0014533",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Vaikuntam DDS PC
• Carla Jeannette, LMT
• Madeleine Jeffers
• Jeffrey Carl DMD PC
• Daniel R Jenkins II
• Colby Bleys Christian Jensen-Hansen
• April Jensen, D.O.
• Rachel F Jenson
• Matthew D Jervis, D.M.D.
• Laura Jimenez

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albany, OR
• Providers in Albany, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.