Jamie Lee Dejong, PHARMD
Individual provider Active NPI Pharmacist · Roeland Park, KS
NPI 1457710071 · NPPES record last updated Feb 11, 2016
Key facts
- NPI
- 1457710071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-16697 (KS)
- Practice address
- 5111 W 50TH Ter
Roeland Park, KS 66205-1225 - Phone
- (913) 522-7152
- Fax
- (913) 393-8053
- NPI assigned
- Feb 11, 2016
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-16697 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-16697 | KS | Yes |
Addresses
Primary practice location
5111 W 50TH Ter
Roeland Park, KS 66205-1225
Mailing address
5111 W 50TH Ter
Roeland Park, KS 66205-1225
Phone (913) 522-7152
Other providers in Roeland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2016. 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.