Emily J Dykstra, PHARMACIST
Individual provider Active NPI Pharmacist · Hinton, IA
NPI 1265628747 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1265628747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16706 (IA)
- Practice address
- 31702 Granite Ave
Hinton, IA 51024-9091 - Phone
- (712) 239-5085
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 16706 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16706 | IA | Yes |
Addresses
Primary practice location
31702 Granite Ave
Hinton, IA 51024-9091
Mailing address
31702 Granite Ave
Hinton, IA 51024-9091
Phone (712) 239-5085
Other providers in Hinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. 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.