Active NPI
Amy Carol Jaap, PHARMD
- Ambulatory Care Pharmacist
- Gaylord, MI
National Provider Identifier
1558508374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 5302048581
- Practice address
- 2782 S Otsego Ave
Gaylord, MI 49735-9404 - Phone
- (989) 497-2500
- NPI assigned
- Jan 15, 2009
- Last updated
- Mar 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 0202205966 | VA | |
| Ambulatory Care Pharmacist | 1835P2201X | 5302048581 | MI | Primary |
Addresses
Primary practice location
2782 S Otsego Ave
Gaylord, MI 49735-9404
Mailing address
2782 S Otsego Ave
Gaylord, MI 49735-9404
Phone (989) 497-2500
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205966 | VA | MD | Pharmacotherapy Pharmacist |
| 5302048581 | MI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1558508374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 S OTSEGO AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359404",
"telephone_number": "989-497-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 S OTSEGO AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359404",
"telephone_number": "989-497-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAAP",
"first_name": "AMY",
"middle_name": "CAROL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202205966",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "5302048581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
- Stephanie Hutchens, LLMSW
- Soo Young Hwang, MD
- Image North Gaylord PC
- Intelicare Hospice Services II, LLC (The Care Team)
- Irb Medical Equipment LLC (Hart Medical Equipment)
- Michael Ryan Jaisle, DDS
- Carissa Jara, CADC
- Joanne M Jasinski, MA, LPC
- JCS Optical Inc. (New Vision Optical)
- Kathryn A Jeffers, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.