Active NPI
Jennifer Renee Mendiguren, PHARM D
- Pharmacist
- West Palm BCH, FL
National Provider Identifier
1629350426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS48216
- Practice address
- 220 Palm BCH Lakes Blvd
West Palm BCH, FL 33409 - Phone
- (561) 615-0415
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 48216 | FL | |
| Pharmacist | 183500000X | PS48216 | FL | Primary |
Addresses
Primary practice location
220 Palm BCH Lakes Blvd
West Palm BCH, FL 33409
Mailing address
220 Palm BCH Lakes Blvd
West Palm BCH, FL 33409
Phone (561) 615-0415
Other names 1
- Jennifer Ventrella
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 |
|---|---|---|---|
| PS 48216 | FL | MD | Pharmacist |
| PS48216 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1629350426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 PALM BCH LAKES BLVD",
"city": "WEST PALM BCH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-615-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 PALM BCH LAKES BLVD",
"city": "WEST PALM BCH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-615-0415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIGUREN",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 48216",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "VENTRELLA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Palm BCH, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.