Active NPI
Austin Lane Jamison, PHARMD
- Pharmacist
- Derby, KS
National Provider Identifier
1619706546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-109376
- Practice address
- 606 N Mulberry Rd
Derby, KS 67037-3532 - Phone
- (316) 788-3787
- NPI assigned
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-109376 | KS | Primary |
Addresses
Primary practice location
606 N Mulberry Rd
Derby, KS 67037-3532
Mailing address
1533 E Olive CT
Andover, KS 67002-8960
Phone (785) 865-8163
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 |
|---|---|---|---|
| 1-109376 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1619706546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 E OLIVE CT",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670028960",
"telephone_number": "785-865-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N MULBERRY RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373532",
"telephone_number": "316-788-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "AUSTIN",
"middle_name": "LANE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-109376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.