IndividualActive
Jennifer Bongartz, PHARMD
NPI 1104195874 · Pharmacotherapy Pharmacist · Shiprock, NM
Provider details
- NPI number
- 1104195874
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RP00007685 (NM)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
US Hwy 491 North
Shiprock, NM 87420-0160
Phone: (505) 368-6001
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 160
Shiprock, NM 87420-0160
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2013-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.