Active NPI
Jenifer Lynne Neiman, PHARM D
- Pharmacist
- Fort Pierce, FL
National Provider Identifier
1558638890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35852
- Practice address
- 1603 S US Highway 1
Fort Pierce, FL 34950-5141 - Phone
- (772) 466-6934
- Fax
- (772) 466-9885
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35852 | FL | Primary |
Addresses
Primary practice location
1603 S US Highway 1
Fort Pierce, FL 34950-5141
Mailing address
1603 S US Highway 1
Fort Pierce, FL 34950-5141
Phone (772) 466-6934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35852 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1603 S US Highway 1
Fort Pierce, FL 34950
Phone (772) 466-6934
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1558638890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 S US HIGHWAY 1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505141",
"telephone_number": "772-466-6934",
"fax_number": "772-466-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 S US HIGHWAY 1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505141",
"telephone_number": "772-466-6934",
"fax_number": "772-466-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIMAN",
"first_name": "JENIFER",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.