Jentri Hahn
Individual provider Active NPI Pharmacist · Tribune, KS
NPI 1831674969 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1831674969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-15427 (KS)
- Practice address
- 422 Broadway Ave
Tribune, KS 67879-7701 - Phone
- (620) 376-4224
- NPI assigned
- Sep 25, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15427 | KS | MD | Pharmacist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15427 | KS | Yes |
Addresses
Primary practice location
422 Broadway Ave
Tribune, KS 67879-7701
Mailing address
422 Broadway Ave
Tribune, KS 67879-7701
Other providers in Tribune, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 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.