Individual provider Active NPI

Elizabeth Kay Frommelt, RPH

  • Pharmacist
  • Burns, OR
National Provider Identifier
1508267501
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0010540 Issued in OR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RPH-0010540OtherORPRH 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

LicenseStateTypeSpecialty
RPH-0010540ORMDPharmacist
0010540ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Prime Pharmcy LLC CurrentSince Apr 24, 2022 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.

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.

Verify at the official NPI Registry.