Jessie Auen, PHARMD
Individual provider Active NPI Pharmacist · Council Bluffs, IA
NPI 1437522232 · NPPES record last updated Nov 3, 2015
Key facts
- NPI
- 1437522232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21090 (IA)
- Practice address
- 3804 Metro Dr
Council Bluffs, IA 51501-7732 - Phone
- (712) 309-3381
- NPI assigned
- Nov 3, 2015
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13272 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21090 | IA | Yes |
| Pharmacist | 183500000X | 13272 | NE |
Addresses
Primary practice location
3804 Metro Dr
Council Bluffs, IA 51501-7732
Mailing address
3804 Metro Dr
Council Bluffs, IA 51501-7732
Phone (712) 309-3381
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2015. 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.