Provider Demographics
NPI:1679339311
Name:JARNAGIN, JONNI (RPH)
Entity Type:Individual
Prefix:DR
First Name:JONNI
Middle Name:
Last Name:JARNAGIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5317 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-2947
Mailing Address - Country:US
Mailing Address - Phone:406-371-2785
Mailing Address - Fax:
Practice Address - Street 1:5317 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-2947
Practice Address - Country:US
Practice Address - Phone:406-371-2785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-117804183500000X
MTPHA-PHA-LIC-102048183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist