Janet W Nuse, R.PH.
Individual provider Active NPI Pharmacist · Fayette, MO
NPI 1811201155 · NPPES record last updated Jul 28, 2010
Key facts
- NPI
- 1811201155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 041784 (MO)
- Practice address
- 950 County Road 105
Fayette, MO 65248-8723 - Phone
- (660) 248-5117
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041784 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041784 | MO | Yes |
Addresses
Primary practice location
950 County Road 105
Fayette, MO 65248-8723
Mailing address
950 County Road 105
Fayette, MO 65248-8723
Phone (660) 248-5117
Other providers in Fayette, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2010. 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.