Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Michael Fenimore, RPH

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1295362994

Jeffrey Michael Fenimore, RPH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4526 W Western Ave
South Bend, IN 46619-2302
Phone: (574) 288-0471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 2602798A (IN)

Record details

NPI number1295362994
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020
Mailing address4526 W Western Ave, South Bend, IN 46619-2302

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