Dr. Trevor Jennewine, RPh
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albany, OR. Individual provider (NPI-1).
NPI number1538559331
StatusActive
Last updated in NPPESDec 17, 2015
Details
- NPI
- 1538559331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Trevor Jennewine
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2015
- Last updated
- Dec 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 0014533 | OR | Yes |
| 183500000X | Pharmacist | RPH-0014533 | OR |
Practice location
1990 14th Ave SeAlbany, OR 97322-8504
Phone 541-812-2386
Mailing address
2665 Nw Garryanna Dr2
Corvallis, OR 97330-3686
Phone 937-654-5025
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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