NPIMap

Individual provider Active NPI

Lorraine Bredahl, RPH

  • Pharmacist
  • Oskaloosa, KS
National Provider Identifier
1447593983
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-10449 Issued in KS
Practice address
509 Delaware St
Oskaloosa, KS 66066
Phone
(785) 863-3401
Fax
(785) 863-3405
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-10449 KS Primary

Addresses

Primary practice location

509 Delaware St
Oskaloosa, KS 66066

Mailing address

509 Delaware St
Oskaloosa, KS 66066
Phone (785) 863-3401

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-10449KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Memorial Hospital Foundation, Inc. Past Accepting new patients
Jefferson County Memorial Hospital Foundation, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1447593983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DELAWARE ST",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "66066",
            "telephone_number": "785-863-3401",
            "fax_number": "785-863-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 DELAWARE ST",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "66066",
            "telephone_number": "785-863-3401",
            "fax_number": "785-863-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDAHL",
        "first_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-10449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.