JANE TENNIS RPH, MBA
NPI 1104176726
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in O Fallon, MO

Q: What is Jane Tennis's NPI number?

The NPI number for Jane Tennis is 1104176726. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Q: What is Jane Tennis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Jane Tennis was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2012

543 BOULDER RIVER DR, O FALLON, MO 63368(314) 651-4716 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jane Tennis Rph, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANE TENNIS RPH, MBA (NPI 1104176726) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in O Fallon, Missouri, licensed in Missouri (0283146) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1104176726

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameJANE TENNISCredential: RPH, MBA

Location Address543 BOULDER RIVER DRO Fallon, MO 63368-9666

Mailing Address4801 Weldon Spring PkwyWeldon Spring, MO 63304-9101 · (636) 441-7300

Phone(314) 651-4716

Sole ProprietorYes

Enumeration DateSeptember 11, 2012

✔ NPI 1104176726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in MO · 0283146

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

543 BOULDER RIVER DR, O Fallon, MO 63368

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jane Tennis's NPI number?

The NPI number for Jane Tennis is 1104176726. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Jane Tennis located?

Jane Tennis practices at 543 Boulder River Dr, O Fallon, MO 63368. The listed phone number is (314) 651-4716.

What is Jane Tennis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jane Tennis was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.