Active NPI
Jonathan Paul Kaufmann, DOCTOR OF PHARMACY
- Pharmacist
- York, NE
National Provider Identifier
1124519566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11851
- Practice address
- Walgreens Pharmacy
533 South Lincoln Avenue
York, NE 68467 - Phone
- (402) 362-1280
- NPI assigned
- May 22, 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 | 11851 | NE | Primary |
Addresses
Primary practice location
Walgreens Pharmacy
533 South Lincoln Avenue
York, NE 68467
Mailing address
533 S Lincoln Ave
York, NE 68467-4211
Phone (308) 737-0164
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11851 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1124519566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 S LINCOLN AVE",
"city": "YORK",
"state": "NE",
"postal_code": "684674211",
"telephone_number": "308-737-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALGREENS PHARMACY",
"address_2": "533 SOUTH LINCOLN AVENUE",
"city": "YORK",
"state": "NE",
"postal_code": "68467",
"telephone_number": "402-362-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMANN",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2021-08-23",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.