Amy Elisabeth Jones, RPH
Individual provider Active NPI Pharmacist · Chanhassen, MN
NPI 1114212586 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1114212586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 118406 (MN)
- Practice address
- 851 W 78TH St
T-0862
Chanhassen, MN 55317-9579 - Phone
- (952) 470-1006
- Fax
- (952) 277-1006
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118406 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 118406 | MN | Yes |
Addresses
Primary practice location
851 W 78TH St
T-0862
Chanhassen, MN 55317-9579
Mailing address
851 W 78TH St
T-0862
Chanhassen, MN 55317-9579
Phone (952) 470-1006
Other providers in Chanhassen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. 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.