Amy Jo Tobin, PHARM D, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10545 Issued in NE

Practice address

412 S 13TH St Ste a
Tekamah, NE 68061-1308

Phone

(402) 374-2500

Fax

(402) 374-2702

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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.

• Bailey Drug Inc.

  • Community/Retail Pharmacy
  • Tekamah, NE
  • NPI 1912351354
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2020.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1164025326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N 15TH ST",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611017",
            "telephone_number": "402-374-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S 13TH ST STE A",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611308",
            "telephone_number": "402-374-2500",
            "fax_number": "402-374-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "PHARM D, RPH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orville & Willa Chatt Senior Citizen Center
• Dennis M Sanders, DMD
• Tekamah Care and Rehabilitation Center, LLC
• Tekamah Operations LLC
• Tekamah Rural Fire District
• Lauryn Trudeau
• Alice Jo Uhing
• Bethany Van Der Hart, CPM
• Dixie Wimer, CNA

• All providers in Tekamah, NE
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.