Amy Michelle Bokelman, PHARMD
Individual provider Active NPI Pharmacist · Gardner, KS
NPI 1790273282 · NPPES record last updated Apr 30, 2018
Key facts
- NPI
- 1790273282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-13189 (KS)
- Practice address
- 1725 E Sante Fe St
Gardner, KS 66030 - Phone
- (913) 884-8411
- Fax
- (913) 884-7025
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 1-13189 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13189 | KS | Yes |
Addresses
Primary practice location
1725 E Sante Fe St
Gardner, KS 66030
Mailing address
20250 Beverly St
Stilwell, KS 66085-8771
Phone (913) 634-8502
Other providers in Gardner, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2018. 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.