Active NPI
Amy Jane Knoke, RPH
- Pharmacist
- Decorah, IA
National Provider Identifier
1841828340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17886
- Practice address
- 1798 Old Stage Rd
Decorah, IA 52101-7497 - Phone
- (563) 382-8456
- Fax
- (563) 382-8654
- NPI assigned
- Mar 30, 2020
- Last updated
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 17886 | IA | Primary |
Addresses
Primary practice location
1798 Old Stage Rd
Decorah, IA 52101-7497
Mailing address
1715 E Hill Rd
Decorah, IA 52101-7577
Phone (563) 419-0535
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17886 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1841828340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 E HILL RD",
"city": "DECORAH",
"state": "IA",
"postal_code": "521017577",
"telephone_number": "563-419-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 OLD STAGE RD",
"city": "DECORAH",
"state": "IA",
"postal_code": "521017497",
"telephone_number": "563-382-8456",
"fax_number": "563-382-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOKE",
"first_name": "AMY",
"middle_name": "JANE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.