Healthcare Provider Details

I. General information

NPI: 1992628168
Provider Name (Legal Business Name): JENAH LYNN IKERD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E POLK ST
WASHINGTON IA
52353-1254
US

IV. Provider business mailing address

400 E POLK ST
WASHINGTON IA
52353-1254
US

V. Phone/Fax

Practice location:
  • Phone: 319-653-5481
  • Fax:
Mailing address:
  • Phone: 319-653-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25620
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: