Active NPI
Jacob Dugan, PHARM D.
- Pharmacist
- Fredonia, KS
National Provider Identifier
1013403633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-106222
- Practice address
- 628 Madison St
Fredonia, KS 66736-1338 - Phone
- (620) 378-4422
- NPI assigned
- Jul 6, 2018
- Last updated
- Jul 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-106222 | KS | Primary |
Addresses
Primary practice location
628 Madison St
Fredonia, KS 66736-1338
Mailing address
628 Madison St
Fredonia, KS 66736-1338
Phone (620) 378-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-106222 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council Grove Pharmacy Inc | Current | Accepting new patients | |
| Council Grove Pharmacy Inc | Current | Accepting new patients | |
| Fredonia Pharmacy Inc | Past | Accepting new patients | |
| Fredonia Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aldrich Apothecary
- Community/Retail Pharmacy
- Council Grove, KS
- NPI 1093444119
-
dba The Apothecary LTC
- Long Term Care Pharmacy
- Council Grove, KS
- NPI 1538926639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1013403633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 MADISON ST",
"city": "FREDONIA",
"state": "KS",
"postal_code": "667361338",
"telephone_number": "620-378-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 MADISON ST",
"city": "FREDONIA",
"state": "KS",
"postal_code": "667361338",
"telephone_number": "620-378-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "JACOB",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-106222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredonia, KS
- James E Clay, DO
- Ronald Guy Cleverley, D.D.S., P.A.
- County of Wilson (Wilson County Health Department)
- CPF Senior Living - Fredonia LLC (Vintage Park at Fredonia)
- DRS. Morris & Hill Medical Clinic, LLC
- Holly Dyrud, LMSW
- Jessica L Evans, NP
- Fredonia Pharmacy Inc (Fredonia Pharmacy LTC)
- Fredonia Pharmacy Inc (Fredonia Pharmacy)
- Fredonia Regional Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.