Jennifer Swenson

Individual provider Active NPI Pharmacist · Phillipsburg, KS

NPI 1124568845 · NPPES record last updated Feb 28, 2017

Key facts

NPI
1124568845
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1100017 (KS)
Practice address
300 State St
Phillipsburg, KS 67661-1930
Phone
(785) 543-5131
Fax
(785) 543-5844
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1100017KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Family Health of Phillipsburg Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1100017 KS Yes

Addresses

Primary practice location

300 State St
Phillipsburg, KS 67661-1930

Mailing address

300 State St
Phillipsburg, KS 67661-1930
Phone (785) 543-5131

Other providers in Phillipsburg, KS

All providers in Phillipsburg, KS · Pharmacist in Kansas

Sources for this page

Verify at the official NPI Registry.