JEFFREY MICHAEL FENIMORE RPH
NPI 1295362994
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Bend, IN

Q: What is Jeffrey Fenimore's NPI number?

The NPI number for Jeffrey Fenimore is 1295362994. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Jeffrey Fenimore'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 Jeffrey Fenimore was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 24, 2020

4526 W WESTERN AVE, SOUTH BEND, IN 46619(574) 288-0471 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffrey Michael Fenimore Rph NPPES

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

JEFFREY MICHAEL FENIMORE RPH (NPI 1295362994) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in South Bend, Indiana, licensed in Indiana (2602798A) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1295362994

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameJEFFREY MICHAEL FENIMORECredential: RPH

Location Address4526 W WESTERN AVESouth Bend, IN 46619-2302

Mailing Address4526 W Western AveSouth Bend, IN 46619-2302

Phone(574) 288-0471

Sole ProprietorYes

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1295362994 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 IN · 2602798A

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.

4526 W WESTERN AVE, South Bend, IN 46619

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KROGER LIMITED PARTNERSHIP I

Pharmacy (Community/Retail Pharmacy)

4526 W WESTERN AVE
SOUTH BEND, IN 46619

St. Joseph County (574) 239-2480

SUSAN CURRY

Pharmacist

4526 W WESTERN AVE
SOUTH BEND, IN 46619

St. Joseph County (574) 239-2480

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 Jeffrey Fenimore's NPI number?

The NPI number for Jeffrey Fenimore is 1295362994. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Jeffrey Fenimore located?

Jeffrey Fenimore practices at 4526 W Western Ave, South Bend, IN 46619. The listed phone number is (574) 288-0471.

What is Jeffrey Fenimore'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 Jeffrey Fenimore was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.