MEDICARE: JENNIFER DE HOMBRE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS39727	FL

General Provider Information

NPI Number	:	1497633101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DE HOMBRE PHARMD

Provider Business Mailing Address
First Line	:	5410 NW 33RD AVE STE 107
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-0004
Country	:	US
Telephone Number	:	305-989-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 NW 33RD AVE STE 107
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-0004
Country	:	US
Telephone Number	:	833-602-3336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	01/30/2026

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