Jennifer Bonanni, PHARMD, BCPS, BCACP

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

RP449641 Issued in PA

Practice address

2581 Clyde Ave
State College, PA 16801-7508

Phone

(877) 626-2500

NPI assigned

May 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Sobeck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1700232006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 CLYDE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017508",
            "telephone_number": "877-626-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 CLYDE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017508",
            "telephone_number": "877-626-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNI",
        "first_name": "JENNIFER",
        "credential": "PHARMD, BCPS, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP449641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SOBECK",
            "credential": "PHARMD, BCPS, BCACP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blue & White Counseling LLC
• Ashton Boal, PSY.D.
• Angela Lynn Bobak, DO
• Dana J. Boddorf, AU.D.
• Katherine Marie Boehm, NP
• Casey Lee Bonsell, PHARMD
• Roberta Jean Boob, PTA
• Sarah E Bork, MD
• Philip J. Bosha, M.D.
• Jake Ryan Bostick, PT

• Ambulatory Care Pharmacist in State College, PA
• Providers in State College, PA by specialty
• Ambulatory Care Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.