Jacob Meyer Osell, PHARM D
Individual provider Active NPI Pharmacist · Ely, MN
NPI 1710260237 · NPPES record last updated Sep 21, 2011
Key facts
- NPI
- 1710260237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 120605 (MN)
- Practice address
- 328 W. Conan St.
Ely Bloomeson Community Hospital
Ely, MN 55731-1145 - Phone
- (218) 365-8770
- Fax
- (218) 365-8746
- NPI assigned
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 120605 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 120605 | MN | Yes |
Addresses
Primary practice location
328 W. Conan St.
Ely Bloomeson Community Hospital
Ely, MN 55731-1145
Mailing address
328 West Conan Street
Ely Bloomeson Community Hospital
Ely, MN 55731-1145
Phone (218) 365-8770
Other providers in Ely, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2011. 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.