Healthcare Provider Details
I. General information
NPI: 1548343700
Provider Name (Legal Business Name): JENNIFER A KAMMERER PHARMD, BS PHARM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1291 W KETTLE AVE
LITTLETON CO
80120-4447
US
IV. Provider business mailing address
1291 W KETTLE AVE
LITTLETON CO
80120-4447
US
V. Phone/Fax
- Phone: 720-283-4446
- Fax:
- Phone: 720-283-4446
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 13290 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1300X |
| Taxonomy | Psychiatric Pharmacist |
| License Number | 13290 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: