Active NPI
Elizabeth Kay Frommelt, RPH
- Pharmacist
- Burns, OR
National Provider Identifier
1508267501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010540
- Practice address
- 191 S Broadway Ave
Burns, OR 97720-2204 - Phone
- (541) 413-2860
- Fax
- (541) 413-2960
- NPI assigned
- Sep 9, 2014
- Last updated
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010540 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0010540 | OR |
Addresses
Primary practice location
191 S Broadway Ave
Burns, OR 97720-2204
Mailing address
PO Box 812
Burns, OR 97720-0812
Phone (541) 413-2860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0010540 | Other | OR | PRH LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010540 | OR | MD | Pharmacist |
| 0010540 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Prime Pharmcy LLC | Current | Accepting new patients | |
| Cutters Hi-School Pharmacy | Past | Accepting new patients |
Locations
191 S Broadway Ave
Burns, OR 97720
Phone (541) 413-2860
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.
-
- Community/Retail Pharmacy
- Burns, OR
- NPI 1811630841
-
- Community/Retail Pharmacy
- Molalla, OR
- NPI 1497715270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1508267501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 812",
"city": "BURNS",
"state": "OR",
"postal_code": "977200812",
"telephone_number": "541-413-2860",
"fax_number": "541-413-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S BROADWAY AVE",
"city": "BURNS",
"state": "OR",
"postal_code": "977202204",
"telephone_number": "541-413-2860",
"fax_number": "541-413-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROMMELT",
"first_name": "ELIZABETH",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010540",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "0010540",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRH LICENSE",
"identifier": "RPH-0010540",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burns, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.