DR. JENNIFER KAY PUTT (NPI# 1306128277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306128277 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KAY PUTT |
| Credential | PHARMD |
| Practice Address |
6201 Stellhorn Rd Fort Wayne IN 46815-5349 |
| Mailing Address |
6201 Stellhorn Rd Fort Wayne INDIANA 46815 UM |
| Practice Telephone | 2604850755 |
| Practice Fax Number | 2604867531 |
| Mailing Telephone | 2604850755 |
| Mailing Fax Number | 2604867531 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 1849 | AK | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 26022018A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580190 | Jennifer J Putt | Physical Therapist | 15 Penny Ln, Suite 4, Watsonville, CA 95076-6010 | 2010-11-01 |
| 1124251244 | Jennifer A Putt IIi | Counselor | 614 W Manchester Blvd, Inglewood, CA 90301-1656 | 2009-08-25 |
| Street Address |
6201 STELLHORN RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831104959 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2006-07-29 |
| 1528624186 | Ben Schlie | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2019-05-19 |
| 1316388945 | Eric C Hershey | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2013-07-11 |
| 1407139876 | Kevin R Cook | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2011-09-22 |
| 1407139926 | Jeffrey A Keeling | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2011-09-21 |
| 1295018711 | Donald Arthur Slane Jr. | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2011-09-21 |
| 1033492616 | Ross Loeffler | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2011-09-21 |
| 1609158310 | Andrew J Trzynka | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2011-09-20 |
| 1659653491 | Sarah Elizabeth Reagin | Pharmacist | 6201 Stellhorn Rd, Fort Wayne, IN 46815-5349 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1528677622 | Leslie Renee Siegel | Pharmacist | 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 | 2020-07-24 |
| 1962048140 | Andrew Quang Tran | Pharmacist | 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-11-21 |
| 1467005991 | Nicholas Selby | Pharmacist | 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-07-23 |
| 1215427042 | Jerry Eugene Falls | Pharmacist | 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 | 2018-05-17 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1063900611 | Juliette Peters | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-04-30 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1790238350 | Karleen Goodwin | Pharmacist | 3964 New Vision Dr, Fort Wayne, IN 46845-1712 | 2016-08-01 |
| 1699131300 | Brent Alan Losier | Pharmacist | 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 | 2016-01-11 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.