Lindsay Renee Jakovljevic, PHARMD
Individual provider Active NPI Pharmacist · Galena, KS
NPI 1043944978 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1043944978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-17291 (KS)
- Practice address
- 1605 K66 Ste B
Galena, KS 66739-4306 - Phone
- (620) 783-1636
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-17291 | KS | MD | Pharmacist |
| 2015027486 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Amigos Apothecary LLC | Current |
Accepting new patients | |
| Three Amigos Apothecary LLC | Past |
Accepting new patients |
Locations
1605 K66
#B
Galena, KS 66739
Phone (620) 783-1636
1605 K66
Galena, KS 66739
Phone (620) 783-1636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2015027486 | MO | |
| Pharmacist | 183500000X | 1-17291 | KS | Yes |
Addresses
Primary practice location
1605 K66 Ste B
Galena, KS 66739-4306
Mailing address
1605 K66 Ste B
Galena, KS 66739-4306
Phone (620) 783-1636
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.