Mrs. Jennifer Khodush, PHARMD
Pharmacist in Medford, Massachusetts
1629795232- Practice location
- 590 Fellsway, Medford, MA 02155-4925
- Phone
- 781-391-2668
- Fax
- —
- Last updated
- October 24, 2022
Jennifer Khodush is a Pharmacist based in Medford, MA. Jennifer Khodush practices in Medford, MA and has the professional credentials of PHARMD. The NPI Number for Jennifer Khodush is 1629795232 and holds a License No. 26080 (MA). The current practice location address for Jennifer Khodush is 590 Fellsway, Medford, MA 02155-4925 and can be reached out via phone at 781-391-2668.
Provider Profile Details
- NPI Number
- 1629795232
- Provider Name
- Jennifer Khodush
- Credential
- PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 590 Fellsway, Medford, MA 02155-4925
- Phone Number
- 781-391-2668
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 24, 2022
- Last Update Date
- October 24, 2022
- Certification Date
- October 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 590 Fellsway
Medford, MA 02155-4925 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4925
- Phone Number
- 781-391-2668
Provider Business Mailing Address Details
- Address
- 590 Fellsway
Medford, MA 02155-4925 - City
- Medford
- State
- MA
- Zip
- 02155-4925
- Phone Number
- 781-391-2668
License Information
- License Number
- 26080
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Medford, MA
View all Pharmacists in Medford →Frequently Asked Questions
What is the NPI number of Mrs. Jennifer Khodush, PHARMD?
The NPI number of Mrs. Jennifer Khodush, PHARMD is 1629795232. It was assigned on October 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer Khodush, PHARMD?
Mrs. Jennifer Khodush, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number 26080.
Where does Mrs. Jennifer Khodush, PHARMD practice?
The practice location is 590 Fellsway, Medford, MA 02155-4925. The office can be reached at 781-391-2668 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629795232 directly on the NPPES registry website.