Mindy Fankhauser
Individual provider Active NPI Pharmacist · Auburn, NE
NPI 1154910941 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1154910941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12341 (NE)
- Practice address
- 2220 J St
Auburn, NE 68305-2602 - Phone
- (402) 274-4186
- Fax
- (402) 274-4222
- NPI assigned
- Jan 15, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12341 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12341 | NE | Yes |
Addresses
Primary practice location
2220 J St
Auburn, NE 68305-2602
Mailing address
2220 J St
Auburn, NE 68305-2602
Phone (402) 274-4186
Other providers in Auburn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. 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.